Provider Demographics
NPI:1265646830
Name:HAGH PRESCRIPTION HEADQUARTERS INC
Entity Type:Organization
Organization Name:HAGH PRESCRIPTION HEADQUARTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAHRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGHNAZARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-777-6864
Mailing Address - Street 1:369 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6504
Mailing Address - Country:US
Mailing Address - Phone:212-777-6864
Mailing Address - Fax:212-420-0657
Practice Address - Street 1:369 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6504
Practice Address - Country:US
Practice Address - Phone:212-777-6864
Practice Address - Fax:212-420-0657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0235510001Medicare NSC