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General NPI Number Information
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NPI Number | 1992895692
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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 | 10/13/2006
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Last Update Date | 09/30/2019
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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 | 518-465-2278
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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 | 518-465-2278
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Authorized Official
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Title or Position | PRESIDENT/SUP.PHARMACIST
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Name | MR. JALAL JAINULABUDEEN
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Credential | R.PH
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 019969
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License Number State | NY
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