Open Gate Pharmacy 2

LBN: Glojoseli Inc
Open Gate Pharmacy 2 is an health care organization with primary practice located at 1807 S Lumpkin Rd Ste C , Columbus GA 31903-2794. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Glojoseli Inc can be contacted via phone (706) 940-0365, or through Evbuomwan, Mojisola Omobike via phone (706) 662-2400.

Contact Information

Primary practice address
1807 S Lumpkin Rd Ste C Columbus GA 31903-2794
Fax: (706) 507-5267
Website:
Authorized official contact:
Name: Evbuomwan, Mojisola Omobike

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010135 Georgia

Profile Details

NPI number 1982099636
LBN Legal business name Glojoseli Inc
DBA Doing business as Open Gate Pharmacy 2
Authorized official Evbuomwan, Mojisola Omobike
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2015
Last updated May 7th, 2015 - about 11 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 1982099636 NPPES
Other 2151114 PK

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