Organization
605 PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN ABULIEL PHARMD (OWNER/PHARMACIST)
(504) 615-5738
Entity
Organization
Contact information
Practice address
8950 LORRAINE RD STE F, GULFPORT, MS 39503-4183
(504) 615-5738
Mailing address
12179 OLD WHISPER CREEK DR, GULFPORT, MS 39503-9600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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