Organization
GEROULD'S PROFESSIONAL PHARMACY INC.
Active
Parent organization
GEROULD'S PROFESSIONAL PHARMACY INC.
Other names
Gerould's Pharmacy #1
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEROULD'S PROFESSIONAL PHARMACY INC.
Authorized official
FRANK T STEED COO (OWNER)
(607) 732-0597
Entity
Organization
Contact information
Practice address
130 S MAIN ST, ELMIRA, NY 14904-1309
(607) 733-6696
(607) 737-0567
Mailing address
130 S MAIN ST, ELMIRA, NY 14904-1309
(607) 732-0597
(607) 733-7911
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00358801
—
NY
Enumeration date
03/31/2019
Last updated
06/11/2019
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