Provider Demographics
NPI:1609952910
Name:E.H. PHARMACY, INC.
Entity Type:Organization
Organization Name:E.H. PHARMACY, INC.
Other - Org Name:EAST HILLS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERZIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-621-7373
Mailing Address - Street 1:310 ROSLYN RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2214
Mailing Address - Country:US
Mailing Address - Phone:516-621-7373
Mailing Address - Fax:516-621-5323
Practice Address - Street 1:310 ROSLYN RD
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2214
Practice Address - Country:US
Practice Address - Phone:516-621-7373
Practice Address - Fax:516-621-5323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-29
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0144153336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy