Organization
GATEWAY PRESCRIPTION CENTER INC
Active
Other names
Baya LTC
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN ALLISON (TREASURER/SECRETARY)
(386) 719-9952
Entity
Organization
Contact information
Practice address
1465 W US HIGHWAY 90, SUITE 115, LAKE CITY, FL 32055-6123
(386) 755-2233
(386) 752-6721
Mailing address
780 SE BAYA DR, LAKE CITY, FL 32025-5403
(386) 719-9952
(386) 438-5421
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH23754
FL
Other
Enumeration date
02/13/2009
Last updated
08/16/2016
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