Organization
HEALTHY RX INC
Active
Other names
Healthy Rx Inc
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGORIY YUABOV PHARM.D. (OWNER)
(718) 777-2020
Entity
Organization
Contact information
Practice address
5917 JUNCTION BLVD, ELMHURST, NY 11373-5188
(718) 777-2020
(718) 744-9528
Mailing address
5917 JUNCTION BLVD, ELMHURST, NY 11373-5188
(718) 777-2020
(718) 744-9528
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032788
NY
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145863
PK
—
05
—
A676
—
NY
Enumeration date
08/11/2014
Last updated
12/03/2020
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