Organization
GOLD STAR PHARMACY INC
Active
Other names
GOLD STAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ZLOTNICK RPH (PHARM)
(315) 452-3280
Entity
Organization
Contact information
Practice address
601 S MAIN ST, NORTH SYRACUSE, NY 13212-3614
(315) 458-4500
(315) 458-2163
Mailing address
601 S MAIN ST, NORTH SYRACUSE, NY 13212-3614
(315) 458-4500
(315) 458-2163
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01223665
—
NY
01
—
3397848
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/07/2006
Last updated
06/09/2010
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