Organization
GNL PHARMACY
Active
Other names
RX STOP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID KUPERSCHMIDT RPH (PRESIDENT)
(917) 364-5462
Entity
Organization
Contact information
Practice address
8610 BAY PKWY, BROOKLYN, NY 11214-4102
(718) 449-6092
(718) 373-6537
Mailing address
8610 BAY PKWY, BROOKLYN, NY 11214-4102
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022434
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01539151
—
NY
01
—
3369471
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/30/2006
Last updated
12/21/2007
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