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Contact Information

GENTRY PHARMACY LLC
3100 BLUE LAKE DRIVE
VESTAVIA HILLS, AL35243
 Phone: 205-970-1983
 Fax: 205-970-1986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GENTRY PHARMACY LLC

NPI Number 1578857108
LBN Legal business name GENTRY PHARMACY LLC
Authorized official ROBERT GENTRY - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2011
Last updated 08/19/2021 - About 5 years ago
Identifiers
AL License # 113729
AL Medicaid 129374
Other 2130074 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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