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Organization
SINGING RIVER GULFPORT
Active
Organization
SINGING RIVER GULFPORT
Active
Other names
The Pharmacy at Singing River Gulfport
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FRATESI (PHARMACY DIRECTOR)
(228) 818-2109
Entity
Organization
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7365
(228) 575-7368
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2593540
NCPDP
MS
Enumeration date
04/27/2022
Last updated
06/14/2022
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