| NPI | 1346760683 |
|---|---|
| Doing Business As | GOLDEN GATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ORESTES VERDURA Manager 239-315-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL HCC12895) |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-06-06 |