Provider Demographics
NPI:1578554077
Name:HEALTHCARE RESOURCES, LLC
Entity Type:Organization
Organization Name:HEALTHCARE RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/R.PH.
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOTIRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIGDALOS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:516-512-8958
Mailing Address - Street 1:1225 FRANKLIN AVE
Mailing Address - Street 2:SUITE NUMBER 325
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1691
Mailing Address - Country:US
Mailing Address - Phone:516-512-8958
Mailing Address - Fax:516-908-4353
Practice Address - Street 1:1225 FRANKLIN AVE
Practice Address - Street 2:SUITE NUMBER 325
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1691
Practice Address - Country:US
Practice Address - Phone:516-512-8958
Practice Address - Fax:516-908-4353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041166-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty