Healthcare Provider Details

I. General information

NPI: 1306682729
Provider Name (Legal Business Name): HEALING PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2024
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

864 BROADWAY
BAYONNE NJ
07002-3054
US

IV. Provider business mailing address

864 BROADWAY
BAYONNE NJ
07002-3054
US

V. Phone/Fax

Practice location:
  • Phone: 551-222-9945
  • Fax: 201-603-1136
Mailing address:
  • Phone: 201-443-5532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. AYMAN SOKAR
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 201-443-5532