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Organization

GEMINI PHARMACY INC

Active
Other names
Gemini Pharmacy Inc
Organization subpart
No

Provider details

NPI number
Authorized official
ARTEM MUSHEYEV (PRESIDENT)
(718) 803-3888
Entity
Organization

Contact information

Practice address
8612 37TH AVE, JACKSON HEIGHTS, NY 11372-7533
(718) 803-3888
(718) 803-3887
Mailing address
8612 37TH AVE, JACKSON HEIGHTS, NY 11372-7533

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029424
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3360904
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
05/06/2009
Last updated
07/12/2010
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