Provider Demographics
NPI:1013080225
Name:HEALTH FIRST PHARMACY
Entity Type:Organization
Organization Name:HEALTH FIRST PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILMOUR
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEHARRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-257-5030
Mailing Address - Street 1:10317 GLENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2703
Mailing Address - Country:US
Mailing Address - Phone:718-257-5030
Mailing Address - Fax:718-257-5146
Practice Address - Street 1:10317 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-2703
Practice Address - Country:US
Practice Address - Phone:718-257-5030
Practice Address - Fax:718-257-5146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028026333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY028026OtherPHARMACY LICENSE