Organization · Type 2 NPI

Gateway Pharmacy of Clare Inc

Community/Retail Pharmacy · Clare, MI

NPI number 1629066204 Active

Practice location

1048 N Mcewan St
Clare, MI 48617-1154

Call (989) 386-2900 Map

Fax (989) 386-3710

Mailing address

11271 Harrison Ave
Farwell, MI 48622-9439

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	5301007820 (MI)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

6 other providers at this address

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Shopko Stores Operating Co LLCCommunity/Retail Pharmacy Clare, MI NPI 1215980842

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NPI record

NPI: 1629066204
Entity type: Organization (Type 2)
Issued: Oct 8, 2005
Last updated: Oct 3, 2020
Status: Active

Other names

<unavail>
Gateway Pharmacy of Clare · doing business as
Gateway Pharmacy of Clare · doing business as

Authorized official

Mr. John William Gross, RPH
President
(989) 339-9008

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629066204

Gateway Pharmacy of Clare Inc's National Provider Identifier is 1629066204, issued on Oct 8, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Clare, MI. The record was last updated on Oct 3, 2020.