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Organization
GEMSTATE PHARMACY GROUP INC
Active
Organization
GEMSTATE PHARMACY GROUP INC
Active
Other names
MediCap LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR WHITNEY (GREFFIER)
(360) 543-7376
Entity
Organization
Contact information
Practice address
800 S INDUSTRY WAY STE 330, MERIDIAN, ID 83642-3598
(208) 287-3733
(208) 258-6756
Mailing address
851 COHO WAY, SUITE 312, BELLINGHAM, WA 98225-2067
(360) 685-4270
(360) 205-7504
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
40843LS
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053742577
—
ID
01
—
2157649
PK
—
Enumeration date
12/09/2013
Last updated
09/19/2025
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