# GBB WELLNESS INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GBB WELLNESS INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154696466
- **Authorized official:** MR. ZALMAN KOYENOV (PRESIDENT)
- **Authorized official phone:** (718) 978-0001

## Contact information

- **Practice address:** 13742 GUY R BREWER BLVD, STORE \#6, JAMAICA, NY 11434-3732
- **Practice address phone:** (718) 978-0001
- **Practice address fax:** (718) 978-0003
- **Mailing address:** 13742 GUY R BREWER BLVD, STORE \#6, JAMAICA, NY 11434-3732
- **Mailing address phone:** (718) 978-0001
- **Mailing address fax:** (718) 978-0003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 031193 | NY | Yes |

## Other

- **Enumeration date:** 03/20/2012
- **Last updated:** 07/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 031193 | NYS BOARD OF PHARMACY | NY |
