Provider Demographics
NPI:1568200970
Name:GPMO, INC
Entity type:Organization
Organization Name:GPMO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:573-822-1896
Mailing Address - Street 1:733 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-3183
Mailing Address - Country:US
Mailing Address - Phone:573-221-2792
Mailing Address - Fax:
Practice Address - Street 1:733 GRAND AVE
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401-3183
Practice Address - Country:US
Practice Address - Phone:573-221-2792
Practice Address - Fax:573-221-4468
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GPMO, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy