Provider Demographics
NPI:1427643584
Name:GB HEALTH, LLC
Entity type:Organization
Organization Name:GB HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:NAT
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANDREAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-256-8235
Mailing Address - Street 1:537 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-2936
Mailing Address - Country:US
Mailing Address - Phone:610-256-8235
Mailing Address - Fax:
Practice Address - Street 1:1300 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-3626
Practice Address - Country:US
Practice Address - Phone:610-256-8235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy