| NPI | 1205927571 |
|---|---|
| Doing Business As | GATEWAY PHARMACY SOUTH |
| Entity Type | Organization |
| Authorized Contact | BRIANA FLUHRER CEO 701-204-7897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 90) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-04-26 |