# HAVANA RX INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679370720
- **Authorized official:** NISSIM SHAVRATOV (PRESIDENT)
- **Authorized official phone:** (347) 233-4040

## Contact information

- **Practice address:** 9020 80TH ST, WOODHAVEN, NY 11421-2465
- **Practice address phone:** (347) 233-4040
- **Practice address fax:** (347) 233-4039
- **Mailing address:** 9020 80TH ST, WOODHAVEN, NY 11421-2465
- **Mailing address phone:** (347) 233-4040
- **Mailing address fax:** (347) 233-4039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2025
- **Last updated:** 03/06/2025