Active NPIIndividual providerSole proprietor

Mary Trez Hasaballa, PHARMD

Pharmacist in Bayonne, New Jersey

NPI Number1093304560
Practice location
573 Broadway, Bayonne, NJ 07002-3830
Fax
—
Last updated
January 11, 2021

Mary Trez Hasaballa is a Pharmacist based in Bayonne, NJ. Mary Trez Hasaballa practices in Bayonne, NJ and has the professional credentials of PHARMD. The NPI Number for Mary Trez Hasaballa is 1093304560 and holds a License No. 28RI04070000 (NJ). The current practice location address for Mary Trez Hasaballa is 573 Broadway, Bayonne, NJ 07002-3830 and can be reached out via phone at 973-453-4071.

Provider Profile Details

NPI Number
1093304560
Provider Name
Mary Trez Hasaballa
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
573 Broadway, Bayonne, NJ 07002-3830
Phone Number
973-453-4071
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2021
Last Update Date
January 11, 2021
Certification Date
January 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
573 Broadway
Bayonne, NJ 07002-3830
Zip
07002-3830
Phone Number
973-453-4071
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
573 Broadway
Bayonne, NJ 07002-3830
City
Bayonne
State
NJ
Zip
07002-3830

License Information

License Number
28RI04070000
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Trez Hasaballa, PHARMD?

The NPI number of Mary Trez Hasaballa, PHARMD is 1093304560. It was assigned on January 11, 2021 and is currently active in the NPPES registry.

What is the specialty of Mary Trez Hasaballa, PHARMD?

Mary Trez Hasaballa, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI04070000.

Where does Mary Trez Hasaballa, PHARMD practice?

The practice location is 573 Broadway, Bayonne, NJ 07002-3830. The office can be reached at 973-453-4071 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093304560 directly on the NPPES registry website.

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