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Organization

GATEWAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TEST TEST TEST (TEST)
(222) 222-2222
Entity
Organization

Contact information

Practice address
421 E DRACHMAN ST, TUCSON, AZ 85705-7445
(321) 321-3213
Mailing address
TEST, AHMEDBAD, INDIA 48042-8

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
11/04/2015
Last updated
11/04/2015
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Product
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  • Eligibility checks
  • EDI platform