Provider Demographics
NPI:1912542275
Name:GLOBAL PHARMACY GROUP INC.
Entity Type:Organization
Organization Name:GLOBAL PHARMACY GROUP INC.
Other - Org Name:986 PHARMACY #8008
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:KO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:323-707-3488
Mailing Address - Street 1:4280 VIA ARBOLADA UNIT 223
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-5088
Mailing Address - Country:US
Mailing Address - Phone:323-707-3488
Mailing Address - Fax:
Practice Address - Street 1:2001 SANTA MONICA BLVD STE 100W
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2176
Practice Address - Country:US
Practice Address - Phone:323-707-3488
Practice Address - Fax:323-417-4984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-11
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy