NPI | 1174602544 |
---|---|
Doing Business As | NORTHGATE PHARMACY |
Entity Type | Organization |
Authorized Contact | ROBERT L EDWARDS Owner 256-766-1224 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AL 107220) |
Enumeration Date | 2006-11-04 |
Last Update Date | 2008-06-30 |