Organization
GURPARTAP SINGH BASRAI
Active
Other names
Gilroy Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GURPARTAP BASRAI (OWNER)
(510) 793-5096
Entity
Organization
Contact information
Practice address
700 W 6TH ST, STE G, GILROY, CA 95020-6014
(408) 842-3196
(408) 847-0717
Mailing address
700 W 6TH ST, STE G, GILROY, CA 95020-6014
(408) 842-3196
(408) 847-0717
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY49901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336226307
—
CA
01
—
2124144
PK
—
Enumeration date
11/01/2006
Last updated
07/19/2018
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