Memorial Outpatient Pharmacy
LBN: Memorial Hospital At Gulfport
Memorial Outpatient Pharmacy is an health care organization with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Memorial Hospital At Gulfport can be contacted via phone (228) 865-3525, or through Dumal, Jennifer via phone (228) 865-3542.
Contact Information
Primary practice address
4500 13Th St
Gulfport MS 39501-2515
Phone: (228) 865-3525
Fax: (228) 865-3618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 14971 | Mississippi |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1073063327 |
|---|---|
| LBN Legal business name | Memorial Hospital At Gulfport |
| DBA Doing business as | Memorial Outpatient Pharmacy |
| Authorized official | Dumal, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2016 |
| Last updated | Dec 17th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073063327 | NPPES |
| Other | 2162560 | PK | |
| MEDICAID | 05383367 | PK |
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