Provider Demographics
NPI:1972358364
Name:TOTAL HEALTH PHARMACY INCORPORATED.
Entity type:Organization
Organization Name:TOTAL HEALTH PHARMACY INCORPORATED.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-971-1766
Mailing Address - Street 1:316 BRADLEY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5171
Mailing Address - Country:US
Mailing Address - Phone:718-971-1766
Mailing Address - Fax:718-971-1879
Practice Address - Street 1:316 BRADLEY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-5171
Practice Address - Country:US
Practice Address - Phone:718-971-1766
Practice Address - Fax:718-971-1879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy