Provider Demographics
NPI:1497538706
Name:G & G RX INC
Entity Type:Organization
Organization Name:G & G RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRATZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:701-572-7979
Mailing Address - Street 1:1500 14TH ST W STE 150
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-4080
Mailing Address - Country:US
Mailing Address - Phone:701-572-7979
Mailing Address - Fax:701-572-7981
Practice Address - Street 1:1930 S BROADWAY
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-6508
Practice Address - Country:US
Practice Address - Phone:701-839-8883
Practice Address - Fax:701-837-1555
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:G & G RX INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy