Individual
CORIE LEANN GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E CENTRAL TEXAS EXPY, HARKER HEIGHTS, TX 76548-1887
(815) 531-4648
Mailing address
1902 WOLVERINE TRL, HARKER HEIGHTS, TX 76548-5631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54092
TX
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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