# DIAMONDHEAD PHARMACY & GIFTS, INC

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

## Provider details

- **NPI number:** 1053315671
- **Authorized official:** MR. WILLIAM RUSSELL LOVE SR. R.PH. (PRESIDENT)
- **Authorized official phone:** (228) 255-7343

## Contact information

- **Practice address:** 4422 KALANI DR, DIAMONDHEAD, MS 39525-3321
- **Practice address phone:** (228) 255-7343
- **Practice address fax:** (228) 255-1748
- **Mailing address:** 4422 KALANI DR, DIAMONDHEAD, MS 39525-3321
- **Mailing address phone:** (228) 255-7343
- **Mailing address fax:** (228) 255-1748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 02113011 | MS | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 08/22/2020