Organization
HEALTH GUARD PHARMACY INC.
Active
Other names
Health Guard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIE FU GAO (SUPERVISING PHARMACIST)
(718) 507-6800
Entity
Organization
Contact information
Practice address
3313 JUNCTION BLVD, JACKSON HEIGHTS, NY 11372-2031
(718) 507-6800
(347) 649-1861
Mailing address
33-13 JUNCTION BVLD, JACKSON HTS, NY 11372
(718) 507-6800
(347) 649-1861
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3274191
—
NY
01
—
5800835
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/20/2010
Last updated
03/16/2021
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