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General NPI Number Information
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NPI Number | 1861200297
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Entity Type | Organization
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Legal Business Name | GEM DRUG CORPORATION
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 300 MORTON AVE
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City | ALBANY
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State | NY
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Zip | 12209-2220
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Country | US
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Telephone | 518-465-2253
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Fax |
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Provider Business Mailing Address
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Address Line | 300 MORTON AVE
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City | ALBANY
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State | NY
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Zip | 12209-2220
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Country | US
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Telephone | 518-465-2253
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | ZARINA JALAL
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Credential | PHARMD
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Telephone | 518-465-2253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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