IndividualActive
Brack Slate, PHARMACIST
NPI 1093155202 · Pharmacist · Gate City, VA
Brack Slate, PHARMACIST is a Pharmacist provider in Gate City, VA (NPI 1093155202).
Provider details
- NPI number
- 1093155202
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMACIST
- Sex
- Male
- Sole proprietor
- No
- License
- 0202001691 (VA)
Practice location
119 E Jackson St
Suite 101
Gate City, VA 24251-3418
Phone: (276) 386-3821
Fax: (276) 386-7582
Street-level locationGet directions
Mailing address
119 E Jackson St
Gate City, VA 24251-3418
Registry dates
- Enumerated
- 2013-07-02
- Last updated
- 2013-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.