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NPI Code Detail

MEDICARE: GATEWAY DRUG CO., INC

MEDICARE: GATEWAY DRUG CO., INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy0201001810VA

General Provider Information

NPI Number : 1891700456
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATEWAY DRUG CO., INC
Provider Business Mailing Address
First Line : 3141 CEDAR VALLEY DR
Second Line :
City : RICHLANDS
State : VA
Zip : 24641-3076
Country : US
Telephone Number : 276-964-4068
Fax Number :
Provider Business Practice Location Address
First Line : 3141 CEDAR VALLEY DR
Second Line :
City : RICHLANDS
State : VA
Zip : 24641-3076
Country : US
Telephone Number : 276-964-4068
Fax Number :
Authorized Official
Title or Position : OWNER PHARMACIST
Name : MRS. GAIL F BROWN
Credential : RPH
Telephone Number : 276-202-7581
Provider Enumeration Date : 07/30/2006
Last Update Date : 08/22/2020

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Directions to “GATEWAY DRUG CO., INC ” Practice Location

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