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Contact Information

GATEWAY PHARMACY OF MONROE CITY
1110 HIGHWAY 24/36 E SUITE 28
MONROE CITY, MO63456
 Phone: 573-735-4880
 Fax: 573-735-4831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GATEWAY PHARMACY OF MONROE CITY

NPI Number 1982619508
LBN Legal business name GATEWAY PHARMACY OF MONROE CITY
Authorized official JANET SAUNDERS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2006
Last updated 08/24/2016 - About 10 years ago
Identifiers
MO License # 004700
MO Medicaid 602365306
Other 2050879 PK
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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