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General NPI Number Information
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NPI Number | 1619419983
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Entity Type | Organization
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Legal Business Name | GATEWAY PHARMACY INC.
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 11/27/2017
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Provider Practice Location Address
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Address Line | 388 W LITTLE YORK RD SUITE:A
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City | HOUSTON
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State | TX
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Zip | 77076-1303
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Country | US
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Telephone | 832-447-1336
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Fax | 832-699-8224
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Provider Business Mailing Address
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Address Line | 388 W LITTLE YORK RD SUITE:A
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City | HOUSTON
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State | TX
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Zip | 77076-1303
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Country | US
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Telephone | 832-447-1336
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Fax | 832-699-8224
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Authorized Official
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Title or Position | OWNER/PHARMACIST IN CHARGE
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Name | MR. CHUKWUNWIKE OKEKE
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Credential |
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Telephone | 832-447-1336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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