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General NPI Number Information
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NPI Number | 1316754294
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Entity Type | Organization
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Legal Business Name | GMS FAMILY PHARMACY INC.
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Dates
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Enumeration Date | 12/14/2024
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 243 E 172ND ST
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City | BRONX
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State | NY
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Zip | 10457-8902
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Country | US
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Telephone | 718-294-0294
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Fax |
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Provider Business Mailing Address
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Address Line | 35 BREWSTER RD W
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City | MASSAPEQUA
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State | NY
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Zip | 11758-8021
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Country | US
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Telephone | 516-498-7817
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GUNNAR MARK SWIERKOWSKI
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Credential |
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Telephone | 718-294-0294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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