Baya Pharmacy West
LBN: Gateway Prescription Center, Inc
Baya Pharmacy West is an health care organization with primary practice located at 1465 W Us Highway 90 Suite #110, Lake City FL 32055-6123. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Gateway Prescription Center, Inc can be contacted via phone (386) 755-2233, or through Allison, Carl L via phone (386) 719-9952.
Contact Information
Primary practice address
1465 W Us Highway 90 Suite #110
Lake City FL 32055-6123
Phone: (386) 755-2233
Fax: (386) 752-6721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Florida | |
| Suppliers / Pharmacy | 333600000X | PH8820 | Florida |
Profile Details
| NPI number | 1275510208 |
|---|---|
| LBN Legal business name | Gateway Prescription Center, Inc |
| DBA Doing business as | Baya Pharmacy West |
| Authorized official | Allison, Carl L RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Aug 15th, 2016 - about 8 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 | 1275510208 | NPPES |
| Florida | MEDICAID | 100014400 | |
| Florida | Other | PH8820 |
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