Gateway Pharmacy

LBN: Gateway Behavioral Health Services
Gateway Pharmacy is an health care organization with primary practice located at 600 Coastal Village Drive, Room 107 , Brunswick GA 31520. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Gateway Behavioral Health Services can be contacted via phone (912) 554-8467, or through Smith, James Edwin via phone (912) 554-8469.

Contact Information

Primary practice address
600 Coastal Village Drive, Room 107 Brunswick GA 31520
Phone: (912) 554-8467
Fax: (912) 280-1536
Website:
Map and Directions
Authorized official contact:
Name: Smith, James Edwin R.PH.
Phone: (912) 554-8469

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE004593 Georgia

Profile Details

NPI number 1134214943
LBN Legal business name Gateway Behavioral Health Services
DBA Doing business as Gateway Pharmacy
Authorized official Smith, James Edwin R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 21st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134214943 NPPES
Georgia MEDICAID 00176756A

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