# BEACH PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beach Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780419028
- **Authorized official:** DR. JASON KROHN PHARMD (PRESIDENT)
- **Authorized official phone:** (228) 896-7070

## Contact information

- **Practice address:** 1110 COWAN RD, GULFPORT, MS 39507-3441
- **Practice address phone:** (228) 896-7070
- **Practice address fax:** (228) 896-2843
- **Mailing address:** 1110 COWAN RD, GULFPORT, MS 39507-3441
- **Mailing address phone:** (228) 896-7070
- **Mailing address fax:** (228) 896-2843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2024
- **Last updated:** 09/05/2024