| NPI | 1124112479 |
|---|---|
| Doing Business As | LONGS PHARMACY AT GATEWAY |
| Entity Type | Organization |
| Authorized Contact | MARSHALL FROST Director Of Business Dev 404-583-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 11840) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SC 15056) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-12-22 |