Provider Demographics
NPI:1376349050
Name:HEALTHY CHOICE PHARMACY LLC
Entity type:Organization
Organization Name:HEALTHY CHOICE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON ALLEN
Authorized Official - Middle Name:BLAS
Authorized Official - Last Name:CATACUTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-738-7375
Mailing Address - Street 1:1850 E SERENE AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-3209
Mailing Address - Country:US
Mailing Address - Phone:702-750-9955
Mailing Address - Fax:702-754-0445
Practice Address - Street 1:1850 E SERENE AVE STE 107
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-3209
Practice Address - Country:US
Practice Address - Phone:702-750-9955
Practice Address - Fax:702-754-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy