MEDICARE: WEST GATE 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
1	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114607736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST GATE PHARMACY INC

Provider Business Mailing Address
First Line	:	4440 N HIGHWAY 7
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-9301
Country	:	US
Telephone Number	:	501-922-0777
Fax Number	:	501-922-0787

Provider Business Practice Location Address
First Line	:	4440 HWY 7 NORTH
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909
Country	:	US
Telephone Number	:	501-922-0777
Fax Number	:	501-922-0787

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL BUTLER
Credential	:
Telephone Number	:	501-922-0777

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	03/09/2026

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Directions to “WEST GATE PHARMACY INC ” Practice Location

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