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Contact Information

GEMSTATE PHARMACY GROUP INC
800 S INDUSTRY WAY STE 330
MERIDIAN, ID83642-3598
 Phone: 208-287-3733
 Fax: 208-258-6756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GEMSTATE PHARMACY GROUP INC

NPI # 1053742577
LBN Legal business name GEMSTATE PHARMACY GROUP INC
Authorized official BLAIR WHITNEY - (GREFFIER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/09/2013
Last updated 09/19/2025 - About 9 months ago
Identifiers
ID License # 40843LS
ID Medicaid 1053742577
Other 2157649 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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