MEDICARE: NEW HEALTH 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1790463560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HEALTH PHARMACY LLC

Provider Business Mailing Address
First Line	:	1776 N PINE ISLAND RD STE 218
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5223
Country	:	US
Telephone Number	:	954-836-8336
Fax Number	:	954-827-2686

Provider Business Practice Location Address
First Line	:	1776 N PINE ISLAND RD STE 218
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5223
Country	:	US
Telephone Number	:	954-836-8336
Fax Number	:	954-827-2686

Authorized Official
Title or Position	:	OWNER
Name	:	ISKIYE MATAYEV
Credential	:
Telephone Number	:	954-836-8336

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	05/15/2026

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Directions to “NEW HEALTH PHARMACY LLC ” Practice Location

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