Gateway Csb Pharmacy
LBN: Gateway Community Svc Board
Gateway Csb Pharmacy is an health care organization with primary practice located at 800 E 70Th St , Savannah GA 31405-4813. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty.
Gateway Community Svc Board can be contacted via phone (912) 790-6220, or through Bright, Nancy via phone (912) 790-6220.
Contact Information
Primary practice address
800 E 70Th St
Savannah GA 31405-4813
Phone: (912) 790-6220
Fax: (912) 349-4328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X | PHRE006000 | Georgia |
Profile Details
| NPI number | 1962584193 |
|---|---|
| LBN Legal business name | Gateway Community Svc Board |
| DBA Doing business as | Gateway Csb Pharmacy |
| Authorized official | Bright, Nancy RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Feb 7th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962584193 | NPPES |
| Other | 1144980 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 00864729A | NCPDP PROVIDER IDENTIFICATION NUMBER |
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