Organization
HEALTHWAYS WORLDWIDE INC
Active
Other names
Healthways Pharmacy & Surgicals
Organization subpart
No
Provider details
NPI number
Authorized official
PERVEZ SIDDIQUI (SUPERVISING PHARMACIST)
(718) 513-4821
Entity
Organization
Contact information
Practice address
225 NEPTUNE AVE, BROOKLYN, NY 11235-6375
(718) 513-4821
(718) 513-4821
Mailing address
225 NEPTUNE AVE, BROOKLYN, NY 11235-6375
(718) 513-4821
(718) 513-4821
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030364
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5801596
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/21/2010
Last updated
06/15/2011
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