# KHALIFA HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTH LINE LLC
- **Other names:** Community Care Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104807601
- **Legal business name:** HEALTH LINE LLC
- **Authorized official:** ENGY KHALIFA (OFFICER)
- **Authorized official phone:** (845) 223-8003

## Contact information

- **Practice address:** 900 ROUTE 376, NESHEIWAT SQUARE SUITE Q, WAPPINGERS FALLS, NY 12590-6377
- **Practice address phone:** (845) 223-8003
- **Practice address fax:** (845) 223-9933
- **Mailing address:** 900 ROUTE 376, NESHEIWAT SQUARE SUITE Q, WAPPINGERS FALLS, NY 12590-6377
- **Mailing address phone:** (845) 223-8003
- **Mailing address fax:** (845) 223-9933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 026106 | NY | Yes |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 02/03/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02415447 | — | NY |