Organization
GEMMEL PHARMACY, INC.
Active
Other names
GEMMEL PHARMACY OF UPLAND
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN SCORSATTO (DIR OF PHCY OPS)
(909) 984-7132
Entity
Organization
Contact information
Practice address
823 W FOOTHILL BLVD, UPLAND, CA 91786-3727
(909) 985-2745
(909) 985-7435
Mailing address
823 W FOOTHILL BLVD, UPLAND, CA 91786-3727
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY48869
CA
3336C0003X
Community/Retail Pharmacy
PHY48869
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0503284
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1649364043
—
CA
Enumeration date
10/03/2006
Last updated
06/11/2008
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