# GATEWAY PHARMACY OF CLARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497312193
- **Authorized official:** JOHN W GROSS (PRESIDENT)
- **Authorized official phone:** (989) 339-9008

## Contact information

- **Practice address:** 1048 N MCEWAN ST, CLARE, MI 48617-1154
- **Practice address phone:** (989) 386-2900
- **Mailing address:** 11271 HARRISON AVE, FARWELL, MI 48622-9439
- **Mailing address phone:** (989) 339-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2019
- **Last updated:** 08/31/2023