Provider Demographics
NPI:1215408117
Name:HABITAT SPECIALTY PHARMACY, INC.
Entity Type:Organization
Organization Name:HABITAT SPECIALTY PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KAISER
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-255-9900
Mailing Address - Street 1:HABITAT SPECIALTY PHARMACY, INC
Mailing Address - Street 2:171 SEVENTH AVE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:212-255-9900
Mailing Address - Fax:212-255-7916
Practice Address - Street 1:HABITAT SPECIALTY PHARMACY, INC
Practice Address - Street 2:171 SEVENTH AVE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-255-9900
Practice Address - Fax:212-255-7916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy