Organization
EAST GATE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BUTLER PHARM.D. (OWNER)
(501) 922-0909
Entity
Organization
Contact information
Practice address
24615 HIGHWAY 5, LONSDALE, AR 72087-8017
(501) 922-0909
(501) 922-0921
Mailing address
24615 HIGHWAY 5, LONSDALE, AR 72087-8017
(501) 922-0909
(501) 922-0921
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR16936
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128829407
—
AR
01
—
1995090
PK
—
Enumeration date
01/08/2007
Last updated
03/09/2026
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