Provider Demographics
NPI:1003250614
Name:HEALTH AID PHARMACY II INC
Entity Type:Organization
Organization Name:HEALTH AID PHARMACY II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NASHAAT
Authorized Official - Middle Name:
Authorized Official - Last Name:GHATTAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-668-1090
Mailing Address - Street 1:1781 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2524
Mailing Address - Country:US
Mailing Address - Phone:718-668-1090
Mailing Address - Fax:718-668-1064
Practice Address - Street 1:1781 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2524
Practice Address - Country:US
Practice Address - Phone:718-668-1090
Practice Address - Fax:718-668-1064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031848333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6794310001Medicare NSC