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General NPI Number Information
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NPI Number | 1689591612
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Entity Type | Organization
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Legal Business Name | GATEWAY COMPOUNDING PHARMACY PLLC
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 37672 FORD RD
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City | WESTLAND
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State | MI
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Zip | 48185-1924
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Country | US
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Telephone | 734-666-1588
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Fax | 734-469-2606
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Provider Business Mailing Address
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Address Line | 37672 FORD RD
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City | WESTLAND
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State | MI
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Zip | 48185-1924
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Country | US
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Telephone | 734-666-1588
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Fax | 734-469-2606
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Authorized Official
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Title or Position | PIC
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Name | CALLISTUS ONWENU
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Credential |
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Telephone | 734-666-1588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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