Organization
EAST GATE PHARMACY INC
Active
Other names
Village Healthmart #2
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BUTLER (OWNER)
(309) 642-2620
Entity
Organization
Contact information
Practice address
24615 HIGHWAY 5, LONSDALE, AR 72087-8017
(501) 922-0909
Mailing address
24615 HIGHWAY 5, LONSDALE, AR 72087-8017
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
04/02/2026
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