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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