Organization
GATEWAY PHARMACY LLC
Active
Other names
Gateway Pharmacy North
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY AURIT RPH (PRESIDENT)
(701) 224-9521
Entity
Organization
Contact information
Practice address
3101 N 11TH ST, SUITE#2, BISMARCK, ND 58503-0594
(701) 224-9521
(701) 224-1360
Mailing address
PO BOX 994, BISMARCK, ND 58502-0994
(701) 224-9521
(701) 224-1360
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
91
ND
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455412
—
ND
01
—
3503213
NCPDP NUMBER
ND
05
—
8533870
—
SD
01
—
N711223
MEDICARE IMMUNIZATIONS
ND
01
—
P00067831
PALMETTO RAILROAD MEDICARE IMMUNIZATIONS
ND
Enumeration date
09/16/2006
Last updated
06/24/2025
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