Gateway Pharmacy
NPI #1427020999 in Granite City, Illinois
Provider Information
- NPI Number
- 1427020999
- Entity Type
- Organization
- Organization Name
- Gateway Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 7, 2006
- Last Updated
- Oct 18, 2010
Practice Location
- Address
- 2044 MADISON AVE
- Address 2
- STE 4
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4641
- Phone
- (618) 877-5032
Authorized Official
- Name
- PAMELA DEAN, RPH
- Title
- REGISTERED PHARMACIST
- Phone
- (618) 877-5032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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