Gamalo Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301009503 Issued in MI

Legal business name

GAMALO INC

Doing business as

Town Pharmacy

Practice address

6170 W Vernor Hwy
Detroit, MI 48209-2062

Phone

(313) 297-6617

Fax

(313) 297-6832

NPI assigned

Sep 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Taher Albaneh

Title

Co-Owner

Phone

(313) 297-6617

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Town Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1720360688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092062",
            "telephone_number": "313-297-6617",
            "fax_number": "313-297-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092062",
            "telephone_number": "313-297-6617",
            "fax_number": "313-297-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMALO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "ALBANEH",
        "authorized_official_first_name": "TAHER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "313-297-6617"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301009503",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131992",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucinda Galmon-Wallace
• Dragos Mihael Galusca, M.D.
• Janet Mendoza Galvan, RDH
• Lucia Galvan
• Andrea Galwaa
• Steven J Gamalski, M.D.
• Alex Gamble
• Deirdre Denise Gamble, LMSW
• Maurice Gambrell Jr.
• Rebecca Elizabetta Game

• Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.