MEDICARE: HARBOR HILL PHARMACY, LLC

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
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1518776715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR HILL PHARMACY, LLC

Provider Business Mailing Address
First Line	:	310 GLEN COVE RD
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1846
Country	:	US
Telephone Number	:	516-621-1185
Fax Number	:	516-621-1480

Provider Business Practice Location Address
First Line	:	310 GLEN COVE RD
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1846
Country	:	US
Telephone Number	:	516-621-1185
Fax Number	:	516-621-1480

Authorized Official
Title or Position	:	MEMBER
Name	:	MRS. IRINA KREYCHMAN
Credential	:	PHARMACIST
Telephone Number	:	516-621-1185

Provider Enumeration Date	:	01/02/2025
Last Update Date	:	01/02/2025

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