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NPI 1457216202

NPI 1457216202 : GP RX PHARMACY CORP. : LONG ISLAND CITY, NY

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General NPI Number Information
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    NPI Number           |    1457216202
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    Entity Type          |    Organization 
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    Legal Business Name  |    GP RX PHARMACY CORP. 
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Dates
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    Enumeration Date     |    12/23/2025
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    Last Update Date     |    12/23/2025
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Provider Practice Location Address
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    Address Line         |    4026 GREENPOINT AVE 
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11104-3618
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    Country              |    US
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    Telephone            |    718-937-1750
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    Fax                  |    718-937-1884
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Provider Business Mailing Address
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    Address Line         |    4026 GREENPOINT AVE 
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11104-3618
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     IOSIF  ZAVULUNOV 
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    Credential           |    
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    Telephone            |    917-653-2201
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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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