Provider Demographics
NPI:1770652620
Name:GABLER ENTERPRISES INC
Entity Type:Organization
Organization Name:GABLER ENTERPRISES INC
Other - Org Name:GABLERS DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:GABLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-437-8863
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-0488
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MASONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15461-1847
Practice Address - Country:US
Practice Address - Phone:724-583-1925
Practice Address - Fax:724-583-2750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP415552L333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007401410008Medicaid
3976341OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PA01758353Medicaid