NPI | 1598831877 |
---|---|
Doing Business As | EASTGATE PUBLIC HEALTH PHARMACY |
Entity Type | Organization |
Authorized Contact | KEVIN ARDELL MOE Practice Management Administrator 206-263-8807 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WA PHAR.CF.60490760) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2022-10-13 |