Gateway Pharmacy

LBN: Gateway Pharmacy
Gateway Pharmacy is an health care organization with primary practice located at 2044 Madison Ave Ste 4, Granite City IL 62040-4641. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Gateway Pharmacy can be contacted via phone (618) 877-5032, or through Dean, Pamela via phone (618) 877-5032.

Contact Information

Primary practice address
2044 Madison Ave Ste 4 Granite City IL 62040-4641
Phone: (618) 877-5032
Fax: (618) 877-0540
Website:
Map and Directions
Authorized official contact:
Name: Dean, Pamela RPH
Phone: (618) 877-5032

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054014700 Illinois

Profile Details

NPI number 1427020999
LBN Legal business name Gateway Pharmacy
DBA Doing business as Gateway Pharmacy
Authorized official Dean, Pamela RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 18th, 2010 - 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 1427020999 NPPES
Other 1462352 NCPDP PROVIDER IDENTIFICATION NUMBER

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