Healthcare Provider Details

I. General information

NPI: 1972615979
Provider Name (Legal Business Name): GFI ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W BROADWAY
COLUMBIA MO
65203-3842
US

IV. Provider business mailing address

201 W BROADWAY
COLUMBIA MO
65203-3842
US

V. Phone/Fax

Practice location:
  • Phone: 573-449-0838
  • Fax: 573-449-0839
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2001029093
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN HIRLINGER
Title or Position: OWNER
Credential:
Phone: 573-449-0838