Provider Demographics
NPI:1225135064
Name:GSP PHARMACEUTICAL ENTEREPRISES, INC.
Entity Type:Organization
Organization Name:GSP PHARMACEUTICAL ENTEREPRISES, INC.
Other - Org Name:ALISAL PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GURPARTAP
Authorized Official - Middle Name:
Authorized Official - Last Name:BASRAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-424-7321
Mailing Address - Street 1:323 N SANBORN RD
Mailing Address - Street 2:B
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93905-2247
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:323 N SANBORN RD
Practice Address - Street 2:B
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905-2247
Practice Address - Country:US
Practice Address - Phone:831-484-7321
Practice Address - Fax:831-424-0197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY475973336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5623803OtherOTHER ID NUMBER-COMMERCIAL NUMBER