Provider Demographics
NPI:1861587016
Name:G&S DRUG CORP
Entity type:Organization
Organization Name:G&S DRUG CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BADINER
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARM
Authorized Official - Phone:718-833-4810
Mailing Address - Street 1:8016 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3002
Mailing Address - Country:US
Mailing Address - Phone:718-833-4810
Mailing Address - Fax:718-833-4572
Practice Address - Street 1:8016 13TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3002
Practice Address - Country:US
Practice Address - Phone:718-833-4810
Practice Address - Fax:718-833-4572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01957597Medicaid
3362201OtherNCPDP
1324170001Medicare ID - Type Unspecified