Organization
GERAD PHARMACY INC
Active
Other names
Gerard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAGNIA BALBUENA (PRESIDENT)
(917) 664-8531
Entity
Organization
Contact information
Practice address
903 GERARD AVE, BRONX, NY 10452-9405
(718) 293-2285
(718) 293-2287
Mailing address
903 GERARD AVE, BRONX, NY 10452-9405
(718) 293-2285
(718) 293-2287
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
031216
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03396476
—
NY
01
—
2135898
PK
—
Enumeration date
11/17/2011
Last updated
09/23/2014
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