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 |