Healthcare Provider Details
I. General information
NPI: 1669854832
Provider Name (Legal Business Name): TRUE NORTH HEALTH PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2015
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
225 COMMUNITY DR STE 100
GREAT NECK NY
11021-5506
US
IV. Provider business mailing address
1983 MARCUS AVE STE 118
NEW HYDE PARK NY
11042-1016
US
V. Phone/Fax
- Phone: 844-411-8486
- Fax: 516-465-5256
- Phone: 844-411-8486
- Fax: 516-465-5256
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 033571 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DONNA
DRUMMOND
Title or Position: SVP, CHIEF EXPENSE OFFICER
Credential:
Phone: 844-411-8486