Gateway Pharmacy Of Clare

LBN: Gateway Pharmacy Of Clare Inc
Gateway Pharmacy Of Clare is an health care organization with primary practice located at 1048 N Mcewan St , Clare MI 48617-1154. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Gateway Pharmacy Of Clare Inc can be contacted via phone (989) 386-2900, or through Gross, John William via phone (989) 339-9008.

Contact Information

Primary practice address
1048 N Mcewan St Clare MI 48617-1154
Phone: (989) 386-2900
Fax: (989) 386-3710
Website:
Map and Directions
Authorized official contact:
Name: Gross, John William RPH
Phone: (989) 339-9008

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007820 Michigan

Profile Details

NPI number 1629066204
LBN Legal business name Gateway Pharmacy Of Clare Inc
DBA Doing business as Gateway Pharmacy Of Clare
Authorized official Gross, John William RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2005
Last updated Oct 3rd, 2020 - about 4 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 1629066204 NPPES
Michigan MEDICAID 4826288
Michigan Other 2365496

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