Gateway Drug Store, Inc. in Loris - Pharmacy
Gateway Drug Store, Inc. - NPI 1831189679
Gateway Drug Store, Inc. is a Pharmacy in Loris, South Carolina. Gateway Drug Store, Inc. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Gateway Drug Store, Inc. is 1831189679. The last update date is 2020-08-22.
Gateway Drug Store, Inc.'s current location address is 3997 Meeting St, Loris, South Carolina. You can contact this provider via phone number 8437565134 and fax number 8437560689. The mailing address for Gateway Drug Store, Inc. is 3997 Meeting St, Loris, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gateway Drug Store, Inc. |
|---|---|
| Address | 3997 Meeting St, Loris, South Carolina |
| Phone Number | 8437565134 |
| Fax Number | 8437560689 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moore Freddie Thomas |
| Credentials | RPH. |
| Telephone Number | 8437565134 |
NPI Number Detail
| NPI Number | 1831189679 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3997 Meeting St |
|---|---|
| City | Loris |
| State | South Carolina (SC) |
| Post Code | 295693053 |
| Phone Number | 8437565134 |
| Fax Number | 8437560689 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 50-000971 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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What is the Gateway Drug Store, Inc.'s 1831189679?
The Gateway Drug Store, Inc.'s NPI (National Provider Identifier) Number is 1831189679. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gateway Drug Store, Inc. is located?
The Gateway Drug Store, Inc. is situated at the following address: 3997 Meeting St, Loris, SC, 295693053.
What is the Gateway Drug Store, Inc.'s specialty and taxonomy code?
The Gateway Drug Store, Inc.'s specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831189679 to Gateway Drug Store, Inc.?
The Gateway Drug Store, Inc. received its 1831189679 assignment from the Centers for Medicare & Medicaid Services on 2005-10-24.
As of what date was the information pertaining to Gateway Drug Store, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gateway Drug Store, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1639173222
Address: Po Box 40908, Fayetteville, NC