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Organization

GATEWAY WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MACKENZIE HAHN (NCPDP COORDINATOR)
(888) 590-0808
Entity
Organization

Contact information

Practice address
3433 AGLER RD., STE 1100, COLUMBUS, OH 43219
(888) 590-0808
(866) 740-4689
Mailing address
200 RITTENHOUSE CIRCLE, EAST BUILDING STE 5, BRISTOL, PA 19007
(888) 590-0808
(866) 740-4689

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
RJ170641
OH

Other

Enumeration date
04/16/2018
Last updated
04/16/2018
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