Organization
WESTGATE PHARMACY RX LLC
Active
Other names
westgate pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SEGAL (MANG)
(732) 370-2500
Entity
Organization
Contact information
Practice address
112 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3148
(732) 370-2500
(732) 230-6939
Mailing address
112 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3148
(732) 370-2500
(732) 256-2099
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00670900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158216
PK
—
Enumeration date
01/19/2007
Last updated
01/18/2017
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