# G MED II LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Gulfport Discount Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124576079
- **Authorized official:** MRS. KATHERINE SUMMER GALLOTTE (PRESIDENT)
- **Authorized official phone:** (228) 265-5193

## Contact information

- **Practice address:** 4723 TENNESSEE AVE, GULFPORT, MS 39501-8130
- **Practice address phone:** (228) 265-5193
- **Practice address fax:** (228) 265-5197
- **Mailing address:** 20117 BOX CV, SAUCIER, MS 39574-8702
- **Mailing address phone:** (228) 234-6236
- **Mailing address fax:** (228) 265-5197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 14259/1.1 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2016
- **Last updated:** 01/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2164275 | PK | — |