Provider Demographics
NPI:1649695800
Name:GOKUL CORPORATION
Entity type:Organization
Organization Name:GOKUL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:BADAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SATASIA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:760-645-3021
Mailing Address - Street 1:587 E ELDER ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-3003
Mailing Address - Country:US
Mailing Address - Phone:760-645-3021
Mailing Address - Fax:442-444-8217
Practice Address - Street 1:587 E ELDER ST
Practice Address - Street 2:SUITE C
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-3003
Practice Address - Country:US
Practice Address - Phone:760-645-3021
Practice Address - Fax:442-444-8217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA545473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56-50800OtherNCPDP PROVIDER NUMBER
CA54547OtherCALIFORNIA STATE BOARD OF PHARMACY
CA54547OtherCALIFORNIA STATE BOARD OF PHARMACY