Organization Name: | GATEWAY PRESCRIPTION CENTER, INC |
NPI Number: | 1275510208 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL L ALLISON (OWNER, PRESIDENT) |
Mailing Address: | 1465 W Us Highway 90 Suite #110 Lake City |
State: | FL US |
Postal Code: | 320556123 |
Phone Number: | 3867552233 |
Fax Number: | 3867526721 |
NPI Enumeration Date: | 12/30/2005 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |