Organization
GVM PHARMACY INC
Active
Other names
SI Pharmacy, STATEN ISLAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ZAIDY LOPEZ (PRESIDENT)
(718) 489-4994
Entity
Organization
Contact information
Practice address
203 OLD TOWN RD, STATEN ISLAND, NY 10305-1415
(718) 489-4994
(718) 489-4996
Mailing address
203 OLD TOWN RD, STATEN ISLAND, NY 10305-1415
(718) 489-4994
(718) 489-4996
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
07/09/2026
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