| NPI | 1487739611 |
|---|---|
| Doing Business As | WESTGATE DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | COREY SMITH President 208-522-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ID 2125CP) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |