Organization
GATEWAY DISCOUNT APOTHECARY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE R BOLLING JR. PHARMACIST (OWNER)
(205) 932-8969
Entity
Organization
Contact information
Practice address
26289 HWY 195, DOUBLE SPRINGS, AL 35553
(205) 489-2572
(205) 489-3722
Mailing address
PO BOX 88, DOUBLE SPRINGS, AL 35553-0088
(205) 489-2572
(205) 489-3722
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113442
AL
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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