National Provider Identifier Database

GATEWAY CSB PHARMACY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

GATEWAY CSB PHARMACY
1915 EISENHOWER DR
BLDG 3
SAVANNAH, GA31406-5027
Phone: 912-351-9343
Fax: 912-351-6437
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for GATEWAY CSB PHARMACY

NPI Number 1669561346
Legal business name
LBN
GATEWAY CSB PHARMACY
Authorized official NANCY BRIGHT - (PIC)
Entity Organization
Organization subpart No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHRE006000
  • GA Medicaid: 00864729A
  • Other: 1144980 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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