| NPI | 1134214943 |
|---|---|
| Doing Business As | GATEWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES EDWIN SMITH Pharmacy Manager 912-554-8469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE004593) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-04-21 |