Organization
HEALTHSOURCE PHARMACY II INC
Active
Other names
HEALTHSOURCE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS NIYAZOV (PRESIDENT)
(212) 481-6600
Entity
Organization
Contact information
Practice address
120 E 34TH ST, NEW YORK, NY 10016-4609
(212) 481-6600
(212) 481-6606
Mailing address
120 E 34TH ST, NEW YORK, NY 10016-4609
(212) 481-6600
(212) 481-6606
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025501
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02352789
—
NY
01
—
2064625
PK
—
Enumeration date
02/15/2007
Last updated
02/16/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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