Medicap Ltc Pharmacy

LBN: Gemstate Pharmacy Group Inc
Medicap Ltc Pharmacy is an health care organization with primary practice located at 800 S Industry Way Ste 330 , Meridian ID 83642-3598. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Gemstate Pharmacy Group Inc can be contacted via phone (208) 287-3733, or through Whitney, Blair via phone (360) 543-7376.

Contact Information

Primary practice address
800 S Industry Way Ste 330 Meridian ID 83642-3598
Phone: (208) 287-3733
Fax: (208) 258-6756
Website:
Map and Directions
Authorized official contact:
Name: Whitney, Blair
Phone: (360) 543-7376

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 40843LS Idaho

Profile Details

NPI number 1053742577
LBN Legal business name Gemstate Pharmacy Group Inc
DBA Doing business as Medicap Ltc Pharmacy
Authorized official Whitney, Blair
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2013
Last updated Jul 19th, 2018 - about 8 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 1053742577 NPPES
Idaho MEDICAID 1053742577
Idaho Other 2157649

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