Healthcare Provider Details

I. General information

NPI: 1285645051
Provider Name (Legal Business Name): HEIGHTS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 W 181ST ST
NEW YORK NY
10033-4731
US

IV. Provider business mailing address

719 W 181ST ST
NEW YORK NY
10033-4731
US

V. Phone/Fax

Practice location:
  • Phone: 212-781-0707
  • Fax: 212-781-0717
Mailing address:
  • Phone: 212-781-0707
  • Fax: 212-781-0717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number025669
License Number StateNY

VIII. Authorized Official

Name: MS. YELENA YOFFE
Title or Position: OWNER
Credential: R PH
Phone: 212-781-0707