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NPI Code Detail

MEDICARE: NORTHGATE PHARMACY INC.

MEDICARE: NORTHGATE PHARMACY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy5301007690MI
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1780689026
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHGATE PHARMACY INC.
Provider Business Mailing Address
First Line : 114 S HURON AVE
Second Line :
City : HARBOR BEACH
State : MI
Zip : 48441-1201
Country : US
Telephone Number : 989-479-3241
Fax Number : 989-479-3242
Provider Business Practice Location Address
First Line : 721 N VAN DYKE RD
Second Line :
City : BAD AXE
State : MI
Zip : 48413-9188
Country : US
Telephone Number : 989-269-8061
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. SCOTT A RAYL
Credential : RPH
Telephone Number : 989-269-8061
Provider Enumeration Date : 06/14/2005
Last Update Date : 09/11/2025

Similar Medicare Providers

1528019072 — NORTHGATE PHARMACY
Practice Location Address:
721 N VAN DYKE RD
BAD AXE, MI
48413-9188
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Practice Fax: 989-269-2094
1821168691 — NORTHGATE PHARMACY INC.
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1518007954 — MR. JONATHAN JAMES VOLK RPH
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BAD AXE, MI
48413-9188
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1245912468 — MRS. TARA LYNN DOHNING
Practice Location Address:
721 N VAN DYKE RD # 7
BAD AXE, MI
48413-9188
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Practice Fax:
1285418327 — MS. JESSICA A BROWN
Practice Location Address:
721 N VAN DYKE RD
BAD AXE, MI
48413-9188
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1457135584 — BRIANNA WISENBAUGH
Practice Location Address:
721 N VAN DYKE RD
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48413-9188
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Directions to “NORTHGATE PHARMACY INC. ” Practice Location

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