Organization
DIAMONDHEAD PHARMACY & GIFTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RUSSELL LOVE SR. R.PH. (PRESIDENT)
(228) 255-7343
Entity
Organization
Contact information
Practice address
4422 KALANI DR, DIAMONDHEAD, MS 39525-3321
(228) 255-7343
(228) 255-1748
Mailing address
4422 KALANI DR, DIAMONDHEAD, MS 39525-3321
(228) 255-7343
(228) 255-1748
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02113011
MS
Other
Enumeration date
06/10/2005
Last updated
08/22/2020
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