| NPI | 1245797554 | 
|---|---|
| Doing Business As | GATEWAY RX | 
| Entity Type | Organization | 
| Authorized Contact | KELLEN ELAYNE DANLEY Owner 239-789-7784  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| Enumeration Date | 2019-02-22 | 
| Last Update Date | 2019-08-21 |