Organization
GM PHARMACY INC
Active
Other names
GM PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
IOSIF TARTAKOVSKIY (OWNER)
(718) 256-7757
Entity
Organization
Contact information
Practice address
174 AVENUE O, BROOKLYN, NY 11204-4918
(718) 256-7757
(718) 256-7747
Mailing address
174 AVENUE O, BROOKLYN, NY 11204-4918
(718) 256-7757
(718) 256-7747
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026552
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02530427
—
NY
01
—
2061674
PK
—
Enumeration date
12/01/2006
Last updated
10/28/2016
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