Organization
GATEWAY PHARMACY GROUP LLC
Active
Organization
GATEWAY PHARMACY GROUP LLC
Active
Other names
SOPERS FAMILY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BARNETTE RPH (OWNER)
(859) 289-8501
Entity
Organization
Contact information
Practice address
227 W MAIN ST, CARLISLE, KY 40311-1129
(859) 289-8501
(859) 289-8004
Mailing address
125 FOXGLOVE DR, MT STERLING, KY 40353-9735
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034003
PK
—
05
—
54001148
—
KY
Enumeration date
12/18/2006
Last updated
05/24/2017
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