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Organization

GATEWAY PHARMACY OF CLARE INC

Active
Other names
Gateway Pharmacy of Clare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN WILLIAM GROSS RPH (PRESIDENT)
(989) 339-9008
Entity
Organization

Contact information

Practice address
1048 N MCEWAN ST, CLARE, MI 48617-1154
(989) 386-2900
(989) 386-3710
Mailing address
11271 HARRISON AVE, FARWELL, MI 48622-9439
(989) 339-9008
(855) 855-4919

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007820
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2365496
NCPDP NUMBER
MI
05
4826288
MI
Enumeration date
10/08/2005
Last updated
10/03/2020
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