Gem State Pharmacy Llc

LBN: Gem State Pharmacy Llc
Gem State Pharmacy Llc is an health care organization with primary practice located at 1437 Park View Dr # 200 , Twin Falls ID 83301-3250. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Gem State Pharmacy Llc can be contacted via phone (208) 329-6104, or through Montalbo, Michael via phone (208) 329-6104.

Contact Information

Primary practice address
1437 Park View Dr # 200 Twin Falls ID 83301-3250
Phone: (208) 329-6104
Fax: (208) 609-6290
Website:
Map and Directions
Authorized official contact:
Name: Montalbo, Michael PHARMD
Phone: (208) 329-6104

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1730926080
LBN Legal business name Gem State Pharmacy Llc
DBA Doing business as
Authorized official Montalbo, Michael PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2024
Last updated Jul 15th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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