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Organization

GATEWAY CSB PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY BRIGHT RPH (PIC)
(912) 303-1602
Entity
Organization

Contact information

Practice address
1915 EISENHOWER DR, BLDG 3, SAVANNAH, GA 31406-5027
(912) 351-9343
(912) 351-6437
Mailing address
1915 EISENHOWER DR, BLDG 3, SAVANNAH, GA 31406-5027

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHRE006000
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00864729A
GA
01
1144980
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/12/2006
Last updated
08/22/2020
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