Provider Demographics
NPI:1982122982
Name:GENERALS PHARMACY LLC
Entity Type:Organization
Organization Name:GENERALS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR.
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:GENTILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-779-5006
Mailing Address - Street 1:5911 WECKERLY RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43571-9648
Mailing Address - Country:US
Mailing Address - Phone:419-877-5233
Mailing Address - Fax:419-877-5275
Practice Address - Street 1:5911 WECKERLY RD.
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:OH
Practice Address - Zip Code:43571
Practice Address - Country:US
Practice Address - Phone:419-877-5233
Practice Address - Fax:419-877-5275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty