NPI | 1982665170 |
---|---|
Doing Business As | GATEWAY PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | ROY LEWTER Owner 336-992-2111 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 08506) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-03-29 |
Last Update Date | 2017-03-06 |