Provider Demographics
NPI:1851095160
Name:HABIBIS PHARMACY LLC
Entity Type:Organization
Organization Name:HABIBIS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-334-2224
Mailing Address - Street 1:340 4TH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-3882
Mailing Address - Country:US
Mailing Address - Phone:619-373-1477
Mailing Address - Fax:619-334-2288
Practice Address - Street 1:340 4TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-3882
Practice Address - Country:US
Practice Address - Phone:619-373-1477
Practice Address - Fax:619-334-2288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy