Organization
GEMMEL PHARMACY OF ALTA LOMA
Active
Parent organization
GEMMEL PHARMACY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEMMEL PHARMACY, INC.
Authorized official
NEEL MEHTA RPH (MANAGER)
(909) 987-1701
Entity
Organization
Contact information
Practice address
8750 BASELINE RD, ALTA LOMA, CA 91701-5503
(909) 987-1707
Mailing address
8750 BASELINE RD, ALTA LOMA, CA 91701-5503
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY48868
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0524341
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1811081219
—
CA
Enumeration date
10/03/2006
Last updated
06/11/2008
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