Organization
GOLD ST PHARMACY CORP
Active
Other names
NATES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD GLEYERMAN (SP)
(718) 855-1990
Entity
Organization
Contact information
Practice address
111 GOLD ST, BROOKLYN, NY 11201-1551
(718) 855-1990
(718) 855-1995
Mailing address
516 BROADWAY, STATEN ISLAND, NY 10310-2804
(718) 720-3710
(718) 720-6135
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3356878
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/30/2007
Last updated
06/14/2011
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