Healthcare Provider Details

I. General information

NPI: 1417983966
Provider Name (Legal Business Name): GILSTRAP DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SOUTH COMMERCE STREET
GENEVA AL
36340
US

IV. Provider business mailing address

PO BOX 99
GENEVA AL
36340
US

V. Phone/Fax

Practice location:
  • Phone: 334-684-2272
  • Fax: 334-684-2273
Mailing address:
  • Phone: 334-684-2272
  • Fax: 334-684-2273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number111831
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14153
License Number StateAL

VIII. Authorized Official

Name: MRS. SARA DYESS
Title or Position: OWNER
Credential:
Phone: 334-684-2272