# WESTGATE PHARMACY RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** westgate pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164575403
- **Authorized official:** DAVID SEGAL (MANG)
- **Authorized official phone:** (732) 370-2500

## Contact information

- **Practice address:** 112 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3148
- **Practice address phone:** (732) 370-2500
- **Practice address fax:** (732) 230-6939
- **Mailing address:** 112 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3148
- **Mailing address phone:** (732) 370-2500
- **Mailing address fax:** (732) 256-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00670900 | NJ | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 01/18/2017