Organization
GATE CITY PHARMACY INC
Active
Other names
Gate City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SKERTICH (BUYER)
(336) 292-6888
Entity
Organization
Contact information
Practice address
803 FRIENDLY CENTER RD STE C, GREENSBORO, NC 27408-2024
(336) 292-6888
(336) 294-9329
Mailing address
803 FRIENDLY CENTER RD STE C, GREENSBORO, NC 27408-2024
(336) 292-6888
(336) 294-9329
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10415
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415133
—
NC
01
—
2122643
PK
—
05
—
7700707
—
NC
Enumeration date
10/04/2005
Last updated
07/19/2018
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