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NPI 1831189679

OrganizationActive

Gateway Drug Store, Inc.

NPI 1831189679 · Pharmacy · Loris, SC

Provider details

NPI number: 1831189679
Entity type: Organization
Primary specialty: PharmacySuppliers
Authorized official: Thomas Moore, President
License: 50-000971 (SC)

Practice location

3997 Meeting St

Loris, SC 29569-3053

Phone: (843) 756-5134

Fax: (843) 756-0689

More SC providers

Mailing address

3997 Meeting St

Loris, SC 29569-3053

Registry dates

Enumerated: 2005-10-24
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Gateway Drug Store, Inc. — NPI 1831189679, Loris, SC | NPI Central