| NPI | 1386087245 |
|---|---|
| Doing Business As | NORTHGATE PHARMACY II |
| Entity Type | Organization |
| Authorized Contact | EARL LEE COUNTS Pharmacy Manager/PIC 276-525-4633 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 02011004509) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: VA 02011004509) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2016-01-04 |