Organization
SOUTH GATE PHARMACY INC
Active
Organization
SOUTH GATE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARESH DHANJIBHAI PATEL (PRESIDENT/CEO)
(323) 537-2837
Entity
Organization
Contact information
Practice address
8200 LONG BEACH BLVD, UNIT D-2, SOUTH GATE, CA 90280-2057
(323) 537-2837
(323) 537-4940
Mailing address
8200 LONG BEACH BLVD UNIT D-2, SOUTH GATE, CA 90280-2057
(323) 537-2837
(323) 537-4940
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58563
BOARD OF PHARMACY
CA
Enumeration date
08/29/2015
Last updated
07/12/2022
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