Organization
EASTGATE PHARMACY INC
Active
Other names
EASTGATE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STUART COWAN (OWNER)
(828) 586-4605
Entity
Organization
Contact information
Practice address
93 EASTGATE DR, SYLVA, NC 28779-5171
(828) 586-4605
(828) 586-6176
Mailing address
93 EASTGATE DR, SYLVA, NC 28779-5171
(828) 586-4605
(828) 586-6176
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5324
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067492
PK
—
Enumeration date
08/10/2006
Last updated
01/14/2014
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