Organization
GATEWAY PRESCRIPTION CENTER, INC
Active
Parent organization
GATEWAY PRESCRIPTION CENTER, INC.
Other names
Baya Pharmacy East
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY PRESCRIPTION CENTER, INC.
Authorized official
CARL L ALLISON RPH (OWNER, PRESIDENT)
(386) 719-9952
Entity
Organization
Contact information
Practice address
780 SE BAYA DR, LAKE CITY, FL 32025-5403
(386) 755-6677
(386) 755-4133
Mailing address
780 SE BAYA DR, LAKE CITY, FL 32025-5403
(386) 755-6677
(386) 755-4133
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
333600000X
Pharmacy
Primary
PH9798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109639700
—
FL
01
—
PH9798
PHARMACY LICENSE
FL
Enumeration date
12/29/2005
Last updated
08/15/2016
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