| NPI | 1881998318 |
|---|---|
| Doing Business As | OPEN GATE PHARMACY #3 |
| Entity Type | Organization |
| Authorized Contact | MOJISOLA EVBUOMWAN President 706-323-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010162) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2016-06-23 |