| NPI | 1932264017 |
|---|---|
| Doing Business As | NORTHGATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MYRA RAY Owner, PIC, AO 270-842-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07278) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-11-09 |