Organization
GATEWAY RX LLC
Active
Other names
UVANTA PHARMACY - ST. LOUIS
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER STRATMANN PHARMD (OWNER)
(314) 373-1111
Entity
Organization
Contact information
Practice address
2000 WESTPORT CENTER DR, SAINT LOUIS, MO 63146-3564
(314) 373-1111
(314) 373-1122
Mailing address
2000 WESTPORT CENTER DR, SAINT LOUIS, MO 63146-3564
(314) 373-1111
(314) 373-1122
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2006006144
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2636491
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/05/2006
Last updated
08/08/2011
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