Provider Demographics
NPI:1083221691
Name:GEM DRUG CORPORATION
Entity Type:Organization
Organization Name:GEM DRUG CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JALAL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAINULABUDEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-465-2253
Mailing Address - Street 1:300 MORTON AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209-2220
Mailing Address - Country:US
Mailing Address - Phone:518-465-2253
Mailing Address - Fax:
Practice Address - Street 1:300 MORTON AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209-2220
Practice Address - Country:US
Practice Address - Phone:518-465-2253
Practice Address - Fax:518-465-2253
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GEM DRUG CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy