Gerould'S Pharmacy #1

LBN: Gerould'S Professional Pharmacy Inc.
Gerould'S Pharmacy #1 is an health care organization with primary practice located at 130 S Main St , Elmira NY 14904-1309. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Gerould'S Professional Pharmacy Inc. can be contacted via phone (607) 733-6696, or through Steed, Frank T via phone (607) 732-0597.

Contact Information

Primary practice address
130 S Main St Elmira NY 14904-1309
Phone: (607) 733-6696
Fax: (607) 737-0567
Website:
Map and Directions
Authorized official contact:
Name: Steed, Frank T COO
Phone: (607) 732-0597

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1639630635
LBN Legal business name Gerould'S Professional Pharmacy Inc.
DBA Doing business as Gerould'S Pharmacy #1
Authorized official Steed, Frank T COO
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 31st, 2019
Last updated Jun 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639630635 NPPES
New York MEDICAID 00358801

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