| NPI | 1851927289 |
|---|---|
| Doing Business As | NORTHGATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SIAMAK KIANI KEIVAN President 915-400-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |