GATEWAY CSB PHARMACY NPI 1669561346

NPI Information

NPI: 1669561346
Provider Name: GATEWAY CSB PHARMACY
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1915 EISENHOWER DR
BLDG 3
SAVANNAH, GA
ZIP 31406
Phone: (912) 351-9343
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GATEWAY CSB PHARMACY is a clinic pharmacy pharmacy in Savannah, GA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. GATEWAY CSB PHARMACY NPI is 1669561346. The provider is registered as an organization entity type.

The provider's business location address is:

1915 EISENHOWER DR
BLDG 3
SAVANNAH, GA
ZIP 31406-027
Phone: (912) 351-9343
Fax: (912) 351-6437

The provider's authorized official is Nancy Bright .
The authorized official title is Pic and has the following contact phone number (912) 303-1602.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	PHRE006000	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1144980	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	00864729A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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