Organization
GSR PHARMACY INC
Active
Other names
e-z pharmacy&surgical
Organization subpart
No
Provider details
NPI number
Authorized official
NAGI REDDY PALLAPOLU (MANAGER)
(718) 777-1100
Entity
Organization
Contact information
Practice address
803 ASTORIA BLVD, ASTORIA, NY 11102-4028
(718) 777-1100
(718) 777-5276
Mailing address
803 ASTORIA BLVD, ASTORIA, NY 11102-4028
(718) 777-1100
(718) 777-5276
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029983
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125244
PK
—
05
—
3175537
—
NY
Enumeration date
11/03/2009
Last updated
07/01/2015
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