Provider Demographics
NPI:1861919938
Name:GILL PHARMACY INC. DBA LATHROP PHARMACY
Entity type:Organization
Organization Name:GILL PHARMACY INC. DBA LATHROP PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIMRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-537-4455
Mailing Address - Street 1:2600 MITCHELL ROAD GILL PHARMACY INC.
Mailing Address - Street 2:SUITE G
Mailing Address - City:CERES
Mailing Address - State:CA
Mailing Address - Zip Code:95307
Mailing Address - Country:US
Mailing Address - Phone:209-537-4455
Mailing Address - Fax:209-537-4456
Practice Address - Street 1:273 SPRECKELS AVE, LATHROP PHARMACY
Practice Address - Street 2:SUITE C1
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336
Practice Address - Country:US
Practice Address - Phone:209-923-4564
Practice Address - Fax:209-923-4594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy