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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
STACEY CHRIST PHARMD (DIRECTOR OF COMPOUNDING)
(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
06/24/2025
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