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Organization

GMJS PHARMACY INC

Active
Other names
LAVEN PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA HIDALGO (SECRETARY)
(718) 233-3486
Entity
Organization

Contact information

Practice address
4320 43RD AVE, SUNNYSIDE, NY 11104-2212
(718) 937-0890
(718) 784-2438
Mailing address
4320 43RD AVE, SUNNYSIDE, NY 11104-2212
(718) 937-0890
(718) 784-2438

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028728
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2959231
NY
01
3357438
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
02/19/2008
Last updated
03/25/2013
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