MEDICARE: HEALARIAN 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
2	333600000X	Pharmacy

General Provider Information

NPI Number	:	1982478822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALARIAN LLC.

Provider Business Mailing Address
First Line	:	PO BOX 286233
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-0012
Country	:	US
Telephone Number	:	212-317-0828
Fax Number	:	212-287-7350

Provider Business Practice Location Address
First Line	:	1658 3RD AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-3605
Country	:	US
Telephone Number	:	212-317-0828
Fax Number	:	212-287-7350

Authorized Official
Title or Position	:	SP
Name	:	ABDELAZIM WAHDAN
Credential	:
Telephone Number	:	212-317-0828

Provider Enumeration Date	:	11/10/2023
Last Update Date	:	11/12/2023

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Directions to “HEALARIAN LLC. ” Practice Location

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