Provider Demographics
NPI:1124599139
Name:H26 HEALTHCARE CORP
Entity Type:Organization
Organization Name:H26 HEALTHCARE CORP
Other - Org Name:STAR LTC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/CFO/ SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:YEFIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ISKHAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-992-2004
Mailing Address - Street 1:20 GOLDENLAND CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2420
Mailing Address - Country:US
Mailing Address - Phone:916-992-2004
Mailing Address - Fax:916-992-2007
Practice Address - Street 1:20 GOLDENLAND CT
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2420
Practice Address - Country:US
Practice Address - Phone:916-992-2004
Practice Address - Fax:916-992-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY58311OtherBOARD OF PHARMACY