| NPI | 1659485639 |
|---|---|
| Doing Business As | EASTGATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WARD DUYSER Owner 616-452-9734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301002051) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-10-13 |