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Organization
NORTHGATE OF THE SHOALS, INC
Active
Organization
NORTHGATE OF THE SHOALS, INC
Active
Other names
Northgate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD IRONS (PHARMACIST/PRESIDENT/OWNER)
(256) 766-1224
Entity
Organization
Contact information
Practice address
3522 CLOVERDALE RD, FLORENCE, AL 35633-1339
(256) 766-1224
(256) 766-1235
Mailing address
3522 CLOVERDALE RD, FLORENCE, AL 35633-1339
(256) 766-1224
(256) 766-1235
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114202
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142082
PK
—
Enumeration date
09/13/2013
Last updated
09/13/2013
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