| NPI | 1528041175 |
|---|---|
| Doing Business As | GATES-PALMETTO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA R JOHNSON Sur Registered Pharmacist Supervisi 718-381-6084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 014376) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2008-04-29 |