Provider Demographics
NPI:1508337023
Name:GIGI SPECIALTY PHARMACY CORP.
Entity Type:Organization
Organization Name:GIGI SPECIALTY PHARMACY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY SUPERVISOR/PHARMACY OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GIHAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:TADOROS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:917-593-0500
Mailing Address - Street 1:55 PAGE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2611
Mailing Address - Country:US
Mailing Address - Phone:917-593-0500
Mailing Address - Fax:718-966-0800
Practice Address - Street 1:55 PAGE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2611
Practice Address - Country:US
Practice Address - Phone:718-605-5550
Practice Address - Fax:718-966-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy