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NPI Code Detail

MEDICARE: HEALTH GUARD PHARMACY INC.

MEDICARE: HEALTH GUARD PHARMACY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy030266NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15800835OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225341274
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH GUARD PHARMACY INC.
Provider Business Mailing Address
First Line : 33-13 JUNCTION BVLD
Second Line :
City : JACKSON HTS
State : NY
Zip : 11372
Country : US
Telephone Number : 718-507-6800
Fax Number : 347-649-1861
Provider Business Practice Location Address
First Line : 3313 JUNCTION BLVD
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-2031
Country : US
Telephone Number : 718-507-6800
Fax Number : 347-649-1861
Authorized Official
Title or Position : SUPERVISING PHARMACIST
Name : JIE FU GAO
Credential :
Telephone Number : 718-507-6800
Provider Enumeration Date : 07/20/2010
Last Update Date : 03/16/2021

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Directions to “HEALTH GUARD PHARMACY INC. ” Practice Location

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