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Provider Information for 1407406887


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GPP SOLUTIONS LLC

Other Names:  
Doing Business As: 
GRANTS PASS PHARMACY

Organization Subpart: NO

NPI: 1407406887
Last Updated: 2022-05-05
Certification Date: 2022-05-05

Details

NameValue
NPI1407406887
Enumeration Date2019-09-17
NPI TypeNPI-2 Organization
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOR500778322
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 3336C0003X - Pharmacy - Community/Retail Pharmacy
Yes 333600000X - Pharmacy