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Organization
DIAMONDHEAD MEDICINE, LLC
Active
Organization
DIAMONDHEAD MEDICINE, LLC
Active
Other names
DIAMONDHEAD FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE SUMMER GALLOTTE (PRESIDENT)
(228) 234-6236
Entity
Organization
Contact information
Practice address
5439 W ALOHA DR STE D, DIAMONDHEAD, MS 39525-3379
(228) 234-6236
(228) 831-9951
Mailing address
20117 BOX CV, SAUCIER, MS 39574-8702
(228) 234-6236
(228) 831-9951
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14259
MS
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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