Provider Demographics
NPI:1437685872
Name:BRIMHALL PHARMACY INC
Entity Type:Organization
Organization Name:BRIMHALL PHARMACY INC
Other - Org Name:BRIMHALL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMALJIT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:661-588-5555
Mailing Address - Street 1:8305 BRIMHALL RD
Mailing Address - Street 2:SUITE 1603
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312
Mailing Address - Country:US
Mailing Address - Phone:661-588-5555
Mailing Address - Fax:661-588-5550
Practice Address - Street 1:8305 BRIMHALL RD
Practice Address - Street 2:SUITE 1603
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312
Practice Address - Country:US
Practice Address - Phone:661-588-5555
Practice Address - Fax:661-588-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA554583336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy