Organization
GATEWAY PHARMACY INC
Active
Other names
Gateway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AVNER KHAIMOV (PRESIDENT)
(973) 732-6900
Entity
Organization
Contact information
Practice address
1 GATEWAY CTR, NEWARK, NJ 07102-5310
(973) 732-6900
(973) 732-6906
Mailing address
1 GATEWAY CTR, NEWARK, NJ 07102-5310
(973) 732-6900
(973) 732-6906
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00724500
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139516
PK
—
Enumeration date
01/16/2013
Last updated
02/03/2025
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