NPI | 1619025715 |
---|---|
Doing Business As | GATEWAY PHARMACY INC. |
Entity Type | Organization |
Authorized Contact | MUSTAFA A ALSAMARAE Officer 313-835-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007360) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2017-01-04 |