Hanife Ardolic, PHARMD

Individual provider Active NPI Pharmacist · Wappingers Falls, NY

NPI 1114305299 · NPPES record last updated May 11, 2015

Key facts

NPI
1114305299
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
060147 (NY)
Practice address
133 Beacon LN
Wappingers Falls, NY 12590-1983
Phone
(718) 300-3581
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
060147NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 060147 NY Yes

Addresses

Primary practice location

133 Beacon LN
Wappingers Falls, NY 12590-1983

Mailing address

21 Arthur Ave
Staten Island, NY 10305-4515
Phone (718) 300-3581

Other providers in Wappingers Falls, NY

All providers in Wappingers Falls, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.