Organization
GSRP LLC
Active
Other names
Gattis Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UZOMA UMEZ (MANAGER)
(512) 454-3326
Entity
Organization
Contact information
Practice address
201 E. WILCO HWY, STE 107, HUTTO, TX 78634
(512) 454-3326
Mailing address
201 E. WILCO HWY, STE 107, HUTTO, TX 78634
(512) 454-3326
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146264
—
TX
01
—
5901536
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/14/2010
Last updated
08/12/2025
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