Provider Demographics
NPI:1477019719
Name:GEM DRUGS INC
Entity Type:Organization
Organization Name:GEM DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-536-3957
Mailing Address - Street 1:PO BOX K
Mailing Address - Street 2:
Mailing Address - City:RESERVE
Mailing Address - State:LA
Mailing Address - Zip Code:70084-0510
Mailing Address - Country:US
Mailing Address - Phone:985-536-3957
Mailing Address - Fax:
Practice Address - Street 1:139 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:RESERVE
Practice Address - State:LA
Practice Address - Zip Code:70084-6001
Practice Address - Country:US
Practice Address - Phone:985-536-3957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GEM DRUGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy