GATEWAY PHARMACY
2044 Madison Ave Ste 4
Granite City, IL 62040
618-877-5032
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | IL | 054014700 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 1462352 | OTHER |