NPI | 1730843319 |
---|---|
Doing Business As | GATEWAY PHARMACY |
Entity Type | Organization |
Authorized Contact | ALI SARHADDI Authorized Official/Owner 707-422-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-10-28 |
Last Update Date | 2021-10-28 |