NPI | 1275963308 |
---|---|
Doing Business As | GATEWAY PHARMACY SUNRISE |
Entity Type | Organization |
Authorized Contact | BRIANA FLUHRER CEO 701-204-7897 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y007401) |
Additional Taxonomies | 333600000X Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy (Licence: SD 400-1704) | |
Enumeration Date | 2013-11-27 |
Last Update Date | 2024-04-25 |