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:
Map and Directions
Authorized official contact:
Name: Bright, Nancy RPH
Phone: (912) 790-6220

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962584193 NPPES
Other 1144980 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 00864729A NCPDP PROVIDER IDENTIFICATION NUMBER

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