Organization
HEALTHY HEIGHTS PHARMACY INC
Active
Other names
Healthy Heights Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MUSHEYEV (OWNER)
(212) 928-1999
Entity
Organization
Contact information
Practice address
1370 SAINT NICHOLAS AVE STORE #2, NEW YORK, NY 10033-6227
(212) 928-1999
(212) 928-1995
Mailing address
1370 ST NICHOLAS AVE STORE #2, MANHATTAN, NY 10033
(212) 928-1999
(212) 928-1995
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035993
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05266399
—
NY
01
—
2175245
PK
—
01
—
7682340001
MEDICARE
NY
Enumeration date
12/28/2017
Last updated
03/21/2022
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