Provider Demographics
NPI:1962506147
Name:G & H PHARMACY INC.
Entity type:Organization
Organization Name:G & H PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:EBERE
Authorized Official - Last Name:MKPARU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:727-209-9999
Mailing Address - Street 1:8091 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-2108
Mailing Address - Country:US
Mailing Address - Phone:727-209-9999
Mailing Address - Fax:727-209-9977
Practice Address - Street 1:8091 66TH ST N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2108
Practice Address - Country:US
Practice Address - Phone:727-209-9999
Practice Address - Fax:727-209-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL028483100Medicaid
FL1011559OtherNCPDP