Provider Demographics
NPI:1023701786
Name:GADE LLC
Entity type:Organization
Organization Name:GADE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:GADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-367-7677
Mailing Address - Street 1:10600 MAGNOLIA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-1819
Mailing Address - Country:US
Mailing Address - Phone:951-521-0550
Mailing Address - Fax:951-521-0552
Practice Address - Street 1:10600 MAGNOLIA AVE STE B
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-1819
Practice Address - Country:US
Practice Address - Phone:951-521-0550
Practice Address - Fax:951-521-0552
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GADE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy