Provider Demographics
NPI:1740559277
Name:G.A.C. PHARMACY CORP
Entity Type:Organization
Organization Name:G.A.C. PHARMACY CORP
Other - Org Name:POLLOCK & BAILEY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CIGNARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-325-7850
Mailing Address - Street 1:1032 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2902
Mailing Address - Country:US
Mailing Address - Phone:212-755-4244
Mailing Address - Fax:212-421-6311
Practice Address - Street 1:1032 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2902
Practice Address - Country:US
Practice Address - Phone:212-755-4244
Practice Address - Fax:212-421-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0309953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5804225OtherNCPDP PROVIDER IDENTIFICATION NUMBER