| NPI | 1962584193 |
|---|---|
| Doing Business As | GATEWAY CSB PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NANCY BRIGHT PIC 912-790-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: GA PHRE006000) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-02-07 |