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Organization
GATEWAY HEALTH SERVICES LLC
Active
Organization
GATEWAY HEALTH SERVICES LLC
Active
Other names
Health Care Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
KURT MOYER (DIRECTOR OF CLINICAL PHARMACY)
(317) 842-5771
Entity
Organization
Contact information
Practice address
7320 E 82ND ST STE C, INDIANAPOLIS, IN 46256-1458
(317) 842-5771
(317) 842-5953
Mailing address
7320 E 82ND ST, STE C, INDIANAPOLIS, IN 46256-1458
(317) 842-5771
(317) 842-5953
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0004X
Compounding Pharmacy
Primary
60005436A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1564308
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/28/2006
Last updated
12/07/2012
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