Provider Demographics
NPI:1548855034
Name:GATEWAY FAMILY PHARMACY LLC
Entity type:Organization
Organization Name:GATEWAY FAMILY PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:L
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:956-690-4280
Mailing Address - Street 1:182 E KIMBALL AVE
Mailing Address - Street 2:
Mailing Address - City:RAYMONDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78580-2547
Mailing Address - Country:US
Mailing Address - Phone:956-690-4280
Mailing Address - Fax:
Practice Address - Street 1:182 E KIMBALL AVE
Practice Address - Street 2:
Practice Address - City:RAYMONDVILLE
Practice Address - State:TX
Practice Address - Zip Code:78580-2547
Practice Address - Country:US
Practice Address - Phone:956-690-4280
Practice Address - Fax:956-690-4284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy