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Organization
GATEWAY PHARMACY, LLC
Active
Organization
GATEWAY PHARMACY, LLC
Active
Parent organization
GATEWAY PHARMACY, LLC
Other names
Gateway Pharmacy Labs
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY PHARMACY, LLC
Authorized official
BRENNEN KUNTZ PHARMD (MANAGER/PIC)
(701) 354-7591
Entity
Organization
Contact information
Practice address
7300 YUKON DR UNIT 5, BISMARCK, ND 58503-9777
(701) 354-7591
Mailing address
PO BOX 994, BISMARCK, ND 58502-0994
(701) 354-7591
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479620
—
ND
01
—
3505332
NCPDP
ND
Enumeration date
11/01/2019
Last updated
08/19/2026
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