Provider Demographics
NPI:1245532373
Name:GEMMA MEDS, INC
Entity type:Organization
Organization Name:GEMMA MEDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-278-5818
Mailing Address - Street 1:760 W SAMPLE RD
Mailing Address - Street 2:STE 6
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-2768
Mailing Address - Country:US
Mailing Address - Phone:561-278-5818
Mailing Address - Fax:
Practice Address - Street 1:760 W SAMPLE RD
Practice Address - Street 2:STE 6
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-2768
Practice Address - Country:US
Practice Address - Phone:561-278-5818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH25042333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy