Healthcare Provider Details

I. General information

NPI: 1982700548
Provider Name (Legal Business Name): GEMMEL PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 01/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10244 ROSECRANS AVE
BELLFLOWER CA
90706-2602
US

IV. Provider business mailing address

10244 ROSECRANS AVE
BELLFLOWER CA
90706-2602
US

V. Phone/Fax

Practice location:
  • Phone: 562-866-8363
  • Fax: 562-925-6208
Mailing address:
  • Phone: 562-866-8363
  • Fax: 562-925-6208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number49825
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AL SCORSATTO
Title or Position: DIRECTOR OF PHARMACY OPERATION
Credential: RPH
Phone: 909-987-2518