| Gateway Pharmacy | |
|
1330 Gateway Blvd Fairfield CA 94533-6915 | |
| (707) 422-0500 | |
| (704) 422-0555 |
| Full Name | Gateway Pharmacy |
|---|---|
| Speciality | Family Medicine |
| Location | 1330 Gateway Blvd, Fairfield, California |
| Authorized Official Name and Position | Ali Sarhaddi (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 7074220500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Pharmacy 1330 Gateway Blvd Fairfield CA 94533-6915 Ph: (707) 422-0500 | Gateway Pharmacy 1330 Gateway Blvd Fairfield CA 94533-6915 Ph: (707) 422-0500 |
| NPI Number | 1730843319 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730843319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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