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Organization
MEMORIAL HOSPITAL OF GULFPORT
Active
Organization
MEMORIAL HOSPITAL OF GULFPORT
Active
Other names
MHG EMPLOYEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT JOSEPH KWITZKY PHARMACIST (EMPLOYEE PHARMACY COORDINATOR)
(228) 865-3045
Entity
Organization
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 865-3525
(228) 865-3618
Mailing address
PO BOX 1810, 4500 13TH ST, GULFPORT, MS 39502-1810
(228) 865-3525
(228) 865-3618
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155003.1
STATE LICENSE
MS
05
—
20027
—
MS
Enumeration date
03/13/2007
Last updated
03/07/2023
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