# SGSP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LYMAN PHARMACY 49
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295397248
- **Authorized official:** KATHERINE SUMMER GALLOTTE (PRESIDENT)
- **Authorized official phone:** (228) 234-6236

## Contact information

- **Practice address:** 12372 HIGHWAY 49, GULFPORT, MS 39503-2741
- **Practice address phone:** (228) 234-6236
- **Practice address fax:** (228) 831-9951
- **Mailing address:** 20117 BOX CV, SAUCIER, MS 39574-8702
- **Mailing address phone:** (228) 234-6236
- **Mailing address fax:** (228) 831-9951

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2019
- **Last updated:** 07/04/2019