Provider Demographics
NPI:1568942860
Name:SV WELLNESS PHARMACY INC.
Entity Type:Organization
Organization Name:SV WELLNESS PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEI
Authorized Official - Middle Name:VIVIEN
Authorized Official - Last Name:GUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-975-0530
Mailing Address - Street 1:2173C 68TH STREET
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4733
Mailing Address - Country:US
Mailing Address - Phone:718-975-0530
Mailing Address - Fax:718-975-0531
Practice Address - Street 1:2173C 68TH STREET
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4733
Practice Address - Country:US
Practice Address - Phone:718-975-0530
Practice Address - Fax:718-975-0531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0367953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy