# 605 PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023785565
- **Authorized official:** JORDAN ABULIEL PHARMD (OWNER/PHARMACIST)
- **Authorized official phone:** (504) 615-5738

## Contact information

- **Practice address:** 8950 LORRAINE RD STE F, GULFPORT, MS 39503-4183
- **Practice address phone:** (504) 615-5738
- **Mailing address:** 12179 OLD WHISPER CREEK DR, GULFPORT, MS 39503-9600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2021
- **Last updated:** 08/24/2021