| NPI | 1023652179 |
|---|---|
| Doing Business As | GATEWAY PHARMACY LABS |
| Entity Type | Organization |
| Authorized Contact | BRENNEN KUNTZ Manager/PIC 701-354-7591 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2026-08-19 |