# PALM-GATE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gates-Palmetto Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528041175
- **Authorized official:** MS. PATRICIA R JOHNSON RPH SP (SUR REGISTERED PHARMACIST SUPERVISI)
- **Authorized official phone:** (718) 381-6084

## Contact information

- **Practice address:** 583 KNICKERBOCKER AVE, BROOKLYN, NY 11221-4742
- **Practice address phone:** (718) 381-6084
- **Practice address fax:** (718) 418-2263
- **Mailing address:** 583 KNICKERBOCKER AVE, BROOKLYN, NY 11221-4742
- **Mailing address phone:** (718) 381-6084
- **Mailing address fax:** (718) 418-2263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 014376 | NY | Yes |

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 04/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00259334 | — | NY |
| 01 | — | 3326217 | NABP | NY |