Provider Demographics
NPI:1013601145
Name:HEALTHWAZE CHEMISTS INC.
Entity Type:Organization
Organization Name:HEALTHWAZE CHEMISTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAIMCHAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-493-4598
Mailing Address - Street 1:23A N VILLAGE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4707
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23A N VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4707
Practice Address - Country:US
Practice Address - Phone:516-493-4598
Practice Address - Fax:516-493-4621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy