Organization
GATEWAY PHARMACY GROUP
Active
Other names
SOPER'S FAMILY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA F. SOPER PHARMACIST (PHARMACIST - OWNER)
(859) 289-8501
Entity
Organization
Contact information
Practice address
102 S BROADWAY ST, CARLISLE, KY 40311-1190
(859) 289-8501
(859) 289-8004
Mailing address
102 S BROADWAY ST, CARLISLE, KY 40311-1190
(859) 289-8501
(859) 289-8004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO6785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90008624
—
KY
Enumeration date
08/07/2007
Last updated
12/10/2007
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