NPI | 1780689026 |
---|---|
Doing Business As | NORTHGATE PHARMACY |
Entity Type | Organization |
Authorized Contact | SCOTT A RAYL President 989-269-8061 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301007690) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2005-06-14 |
Last Update Date | 2020-08-22 |