Provider Demographics
NPI:1265074207
Name:HEALTH AMERICA LLC
Entity type:Organization
Organization Name:HEALTH AMERICA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAVAID
Authorized Official - Middle Name:
Authorized Official - Last Name:AJMAL
Authorized Official - Suffix:
Authorized Official - Credentials:DM, MPH
Authorized Official - Phone:214-476-2041
Mailing Address - Street 1:920 E HIGHWAY 67 STE 108
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-2713
Mailing Address - Country:US
Mailing Address - Phone:972-947-2288
Mailing Address - Fax:972-947-2299
Practice Address - Street 1:541 W MAIN ST STE 140
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3666
Practice Address - Country:US
Practice Address - Phone:972-947-2288
Practice Address - Fax:972-947-2299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacist