Organization
SAN ANTONIO INFUSION PHARMACY
Active
Parent organization
GEMMEL PHARMACY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEMMEL PHARMACY, INC.
Authorized official
ALLEN SCORSATTO (DIRECTOR OF PHAM OPR)
(909) 984-7132
Entity
Organization
Contact information
Practice address
105 W B ST, ONTARIO, CA 91762-3502
(909) 988-0591
(909) 988-0891
Mailing address
105 W B ST, ONTARIO, CA 91762-3502
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY48866
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0537247
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1669513529
—
CA
Enumeration date
02/12/2007
Last updated
06/11/2008
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