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Organization

GASTROINTESTINAL ASSOCIATES, PA

Active
Parent organization
GASTROINTESTINAL ASSOCIATES, PA
Other names
GIA Gardens Rx
Organization subpart
Yes

Provider details

NPI number
Legal business name
GASTROINTESTINAL ASSOCIATES, PA
Authorized official
MR. TODD WARREN (MANAGING OFFICER)
(817) 572-0009
Entity
Organization

Contact information

Practice address
2510 LAKELAND DR., SUITE 150, FLOWOOD, MS 39232
(601) 326-3516
(601) 326-6470
Mailing address
1620 W. NORTHWEST HIGHWAY, SUITE 100, GRAPEVINE, TX 76051
(817) 572-0009
(817) 572-0221

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
14337
MS
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03234361
MS
01
2152327
PK
05
3234361
MS
Enumeration date
06/04/2015
Last updated
09/17/2024
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