# GOWYN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OPEN GATE PHARMACY 1
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740484179
- **Authorized official:** MOJISOLA EVBUOMWAN PHARMD (OWNER)
- **Authorized official phone:** (706) 323-0306

## Contact information

- **Practice address:** 2051 10TH AVE, COLUMBUS, GA 31901-1459
- **Practice address phone:** (706) 323-0306
- **Practice address fax:** (706) 327-3824
- **Mailing address:** 2051 10TH AVE, COLUMBUS, GA 31901-1459
- **Mailing address phone:** (706) 323-0306
- **Mailing address fax:** (706) 327-3824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009915 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 05/04/2016