| NPI | 1871611392 |
|---|---|
| Doing Business As | EASTGATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVE BRAMLITT Pharmacist 662-534-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 01138) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |