Organization
GEM DRUG CORPORATION
Active
Other names
Lincoln Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JALAL JAINULABUDEEN R.PH (PRESIDENT/SUP.PHARMACIST)
(518) 465-2253
Entity
Organization
Contact information
Practice address
300 MORTON AVE, ALBANY, NY 12209-2220
(518) 465-2253
(518) 465-2278
Mailing address
300 MORTON AVE, ALBANY, NY 12209-2220
(518) 465-2253
(518) 465-2278
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019969
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01100201
—
NY
Enumeration date
10/13/2006
Last updated
09/30/2019
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