Individual
PHIL GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
3842 W NEWBERRY RD STE 1G, GAINESVILLE, FL 32607-4833
(352) 373-3547
(352) 373-1532
Mailing address
3842 W NEWBERRY RD STE 1G, GAINESVILLE, FL 32607-4833
(352) 373-3547
(352) 373-1532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS11104
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH2405
FL
3336L0003X
Long Term Care Pharmacy
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Other
Enumeration date
10/22/2014
Last updated
01/23/2020
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