Gentry Health Mart Pharmacy
LBN: Gentry Pharmacy Llc
Gentry Health Mart Pharmacy is an health care organization with primary practice located at 3100 Blue Lake Drive , Vestavia AL 35243. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Gentry Pharmacy Llc can be contacted via phone (205) 970-1983, or through Gentry, Robert Clint via phone (205) 970-1983.
Contact Information
Primary practice address
3100 Blue Lake Drive
Vestavia AL 35243
Phone: (205) 970-1983
Fax: (205) 970-1986
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 113729 | Alabama |
Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
NPI number | 1578857108 |
---|---|
LBN Legal business name | Gentry Pharmacy Llc |
DBA Doing business as | Gentry Health Mart Pharmacy |
Authorized official | Gentry, Robert Clint PHARMD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 31st, 2011 |
Last updated | Aug 19th, 2021 - about 3 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578857108 | NPPES |
Other | 2130074 | PK | |
MEDICAID | 129374 | PK |
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