| NPI | 1982099636 |
|---|---|
| Doing Business As | OPEN GATE PHARMACY 2 |
| Entity Type | Organization |
| Authorized Contact | MOJISOLA OMOBIKE EVBUOMWAN Owner 706-662-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010135) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-05-07 |