# HEALTH SOURCE PLUS PHARMACY, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTH SOURCE PLUS PHARMACY, LLC.
- **Other names:** HEALTH SOURCE PLUS PHARMACY, LONG-TERM CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447069331
- **Legal business name:** HEALTH SOURCE PLUS PHARMACY, LLC.
- **Authorized official:** EMMA KALONTAR PHARM.D. (PHARMACIST IN CHARGE)
- **Authorized official phone:** (718) 849-6700

## Contact information

- **Practice address:** 11807 METROPOLITAN AVE, KEW GARDENS, NY 11415-2020
- **Practice address phone:** (718) 849-6700
- **Mailing address:** 11807 METROPOLITAN AVE, KEW GARDENS, NY 11415-2020
- **Mailing address phone:** (718) 849-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 01/06/2025