Organization
GVG PHARMACY INC.
Active
Other names
Hollis Drugs & Surgicals
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNSON DEVADAS RPH. (VICE PRESIDENT)
(718) 464-1556
Entity
Organization
Contact information
Practice address
206 08 HOLLIS AVE, QUEENS VILLAGE, NY 11429
(718) 464-1556
(718) 464-1558
Mailing address
206 08 HOLLIS AVE, QUEENS VILLAGE, NY 11429
(718) 464-1556
(718) 464-1558
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027538
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02711420
—
NY
01
—
2067335
PK
—
Enumeration date
06/14/2006
Last updated
09/25/2018
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