Model Pharmacy & Medical Dental Pharmacy

LBN: Gil-Jer, Inc
Model Pharmacy & Medical Dental Pharmacy is an health care organization with primary practice located at 2400 Coffee Rd Ste I, Modesto CA 95355-2051. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Gil-Jer, Inc can be contacted via phone (209) 522-1079, or through Dalton, Deborah A via phone (209) 522-1079.

Contact Information

Primary practice address
2400 Coffee Rd Ste I Modesto CA 95355-2051
Phone: (209) 522-1079
Fax: (209) 575-0826
Website:
Map and Directions
Authorized official contact:
Name: Dalton, Deborah A
Phone: (209) 522-1079

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY20203 California
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1689752198
LBN Legal business name Gil-Jer, Inc
DBA Doing business as Model Pharmacy & Medical Dental Pharmacy
Authorized official Dalton, Deborah A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 12th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689752198 NPPES
California MEDICAID PHA202030
California Other 0538097

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