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Organization

GATEWAY PHARMACY LLC

Active
Other names
Gateway Pharmacy South
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANA FLUHRER PHARMD (CEO)
(701) 204-7897
Entity
Organization

Contact information

Practice address
835 S WASHINGTON ST, SUITE #2, BISMARCK, ND 58504-5477
(701) 223-1656
(701) 223-9628
Mailing address
PO BOX 994, BISMARCK, ND 58502-0994
(701) 223-1656
(701) 223-9628

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
90
ND
3336C0004X
Compounding Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1455415
ND
01
3503679
NCPDP NUMBER
ND
05
8533860
SD
01
N711223
MEDICARE IMMUNIZATIONS
ND
Enumeration date
09/28/2006
Last updated
06/24/2025
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