Provider Information for 1407406887
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GPP SOLUTIONS LLC
Other Names:Doing Business As:GRANTS PASS PHARMACYOrganization Subpart: NO
NPI: 1407406887
Last Updated: 2022-05-05
Certification Date: 2022-05-05
Certification Date: 2022-05-05
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1407406887 | ||||||||||||
| Enumeration Date | 2019-09-17 | ||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||
| Status | Active | ||||||||||||
| Authorized Official Information | Name: MICHELE BELCHER Title: PIC/Owner Phone: 5414764262 | ||||||||||||
| Mailing Address | PO BOX B ILWACO, WA 98624-0167 United States Phone: 360-244-5984 | Fax: | ||||||||||||
| Primary Practice Address | 414 SW 6TH ST GRANTS PASS, OR 97526-2810 United States Phone: 541-476-4262 | Fax:541-474-1443 | ||||||||||||
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