Organization
GOTHAM PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY GRULLON (PRESIDENT)
(347) 739-2840
Entity
Organization
Contact information
Practice address
2258 3RD AVE, (CORNER OF E 123RD ST AND 3RD AVE), NEW YORK, NY 10035-2208
(212) 289-7800
(212) 289-7806
Mailing address
2258 3RD AVE, (CORNER OF E 123RD ST AND 3RD AVE), NEW YORK, NY 10035-2208
(212) 289-7800
(212) 289-7806
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
09/23/2013
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