Healthcare Provider Details

I. General information

NPI: 1659635787
Provider Name (Legal Business Name): J & H PRODUCTS USA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 NASSAU RD
ROOSEVELT NY
11575-1343
US

IV. Provider business mailing address

348 NASSAU RD
ROOSEVELT NY
11575-1343
US

V. Phone/Fax

Practice location:
  • Phone: 516-442-4995
  • Fax: 516-442-4998
Mailing address:
  • Phone: 516-442-4995
  • Fax: 516-442-4998

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 Number031346
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BORIS ISAKOV
Title or Position: PRESIDENT
Credential:
Phone: 516-442-4995