Provider Demographics
NPI:1952470809
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:BS PHARM
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:724-437-8863
Mailing Address - Fax:724-437-8907
Practice Address - Street 1:106 S MARKET ST
Practice Address - Street 2:
Practice Address - City:CARMICHAELS
Practice Address - State:PA
Practice Address - Zip Code:15320-1232
Practice Address - Country:US
Practice Address - Phone:724-966-2020
Practice Address - Fax:724-437-8996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PAPP413111L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2080858OtherPK
PA1007401410004Medicaid