Organization
GATEWAY PHARMACY OF CLARE INC
Active
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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