Organization
PALM-GATE PHARMACY
Active
Other names
Gates-Palmetto Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA R JOHNSON RPH SP (SUR REGISTERED PHARMACIST SUPERVISI)
(718) 381-6084
Entity
Organization
Contact information
Practice address
583 KNICKERBOCKER AVE, BROOKLYN, NY 11221-4742
(718) 381-6084
(718) 418-2263
Mailing address
583 KNICKERBOCKER AVE, BROOKLYN, NY 11221-4742
(718) 381-6084
(718) 418-2263
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
014376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00259334
—
NY
01
—
3326217
NABP
NY
Enumeration date
11/28/2005
Last updated
04/29/2008
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