| NPI | 1598401622 |
|---|---|
| Other Name | GATEWAY PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | MAGGIE MANKARIOUS Pharmacist 682-400-3366 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |