Organization
GCC PHARMACY CORP
Active
Other names
BRONX EDEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAMILA DESAI (PRESIDENT)
(718) 299-4800
Entity
Organization
Contact information
Practice address
1575 GRAND CONCOURSE, BRONX, NY 10452-6245
(718) 299-4800
(718) 299-4161
Mailing address
1575 GRAND CONCOURSE, BRONX, NY 10452-6245
(718) 299-4800
(718) 299-4161
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
026401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02510727
—
NY
Enumeration date
03/22/2007
Last updated
05/20/2020
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