Healthcare Provider Details

I. General information

NPI: 1467559203
Provider Name (Legal Business Name): GSB PHARNACEUTICAL ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 N SANBORN RD
SALINAS CA
93905-2247
US

IV. Provider business mailing address

323 N SANBORN RD
SALINAS CA
93905-2247
US

V. Phone/Fax

Practice location:
  • Phone: 831-424-7321
  • Fax: 831-424-0197
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY35226
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GURPARTAP BASRAI
Title or Position: OWNER
Credential:
Phone: 831-424-7321