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Organization

GSPM PHARMACY INC

Active
Other names
8TH AVE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PADMA PALLAPOLU (PRESIDENT)
(212) 234-3900
Entity
Organization

Contact information

Practice address
2854 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10039-2145
(212) 234-3900
(212) 234-3390
Mailing address
2854 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10039-2145
(212) 234-3900
(212) 234-3390

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030325
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030325
NY STATE BOARD REG
NY
Enumeration date
09/15/2010
Last updated
04/11/2023
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