| NPI | 1205477312 |
|---|---|
| Doing Business As | GATEWAY MEDICAL PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM CAO President 503-254-7383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-10-25 |