| NPI | 1326077488 |
|---|---|
| Doing Business As | SOUTHGATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PHILLIP ROZELL President 479-443-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR 13702) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |