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Contact Information

GATEWAY PHARMACY LLC
3103 YORKTOWN DR
STE 2
BISMARCK, ND58503-8526
 Phone: 701-425-0789
 Fax: 701-751-6180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GATEWAY PHARMACY LLC

NPI Number 1275963308
LBN Legal business name GATEWAY PHARMACY LLC
Authorized official BRIANA FLUHRER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2013
Last updated 06/24/2025 - About 11 months ago
Identifiers
AZ License # Y007401
SD License # 400-1704
ND Medicaid 1452328
ND Other N711223 MEDICARE IMMUNIZATIONS
ND Other 3504950 NCPDP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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