Gateway Prescription Center Inc

NPI 1053550020 - Pharmacy - 3336L0003X

NPI Details
NPI 1053550020
Enumeration Date 02/13/2009
Last Updated 02/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOAN JOAN
Position TREASURER/SECRETARY
Phone (386) 755-2233
Fax (386) 752-6721
Practice Location
1465 W US HIGHWAY 90
SUITE 115
LAKE CITY FL, 32055-6123, US
Phone (386) 755-2233
Fax (386) 752-6721
Business Location
780 SE BAYA DR
LAKE CITY FL, 32025-5403, US
Phone (386) 719-9952
Fax
Toxanomy
Taxonomy Code 3336L0003X
License State Florida
License Number PH23754
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According to our database, Gateway Prescription Center Inc NPI is 1053550020, taxonomy code is 3336L0003X and license number is PH23754, license state is located at Florida. Gateway Prescription Center Inc physically located at 1465 W Us Highway 90, Lake City FL, 32055-6123. NPI Number 1033115704 has the healthcare provider type.

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1053550020 NPI number is provided on an as is basis without warranty of any kind. 1053550020 is maintained by the National Plan & Provider Enumeration System. The contents of Gateway Prescription Center Inc are for informational purposes only.