NPI | 1427020999 |
---|---|
Doing Business As | GATEWAY PHARMACY |
Entity Type | Organization |
Authorized Contact | PAMELA DEAN Registered Pharmacist 618-877-5032 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054014700) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2010-10-18 |