Organization
GEM CHEMISTS INC.
Active
Other names
VICTORY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIREYA GUTIERREZ (SUPERVISING PHARMACIST/OWNER)
(718) 651-1177
Entity
Organization
Contact information
Practice address
90 20 ELMHURST AVE, JACKSON HEIGHTS, NY 11372
(718) 651-1177
(718) 651-5732
Mailing address
90 20 ELMHURST AVE, JACKSON HEIGHTS, NY 11372
(718) 651-1177
(718) 651-5732
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020865
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226080
—
NY
01
—
2066883
PK
—
Enumeration date
06/11/2006
Last updated
03/13/2017
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