# GERAD PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gerard Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114294337
- **Authorized official:** SAGNIA BALBUENA (PRESIDENT)
- **Authorized official phone:** (917) 664-8531

## Contact information

- **Practice address:** 903 GERARD AVE, BRONX, NY 10452-9405
- **Practice address phone:** (718) 293-2285
- **Practice address fax:** (718) 293-2287
- **Mailing address:** 903 GERARD AVE, BRONX, NY 10452-9405
- **Mailing address phone:** (718) 293-2285
- **Mailing address fax:** (718) 293-2287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 031216 | NY | Yes |

## Other

- **Enumeration date:** 11/17/2011
- **Last updated:** 09/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03396476 | — | NY |
| 01 | — | 2135898 | PK | — |