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MEDICAL ANALYSIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE PITALO JR. (OWNER)
(228) 432-7071
Entity
Organization

Contact information

Practice address
250 BEAUVOIR RD # B, SUITE 5, BILOXI, MS 39531-4026
(228) 385-2550
(228) 388-9861
Mailing address
1025 DIVISION ST., SUITE E, BILOXI, MS 39530
(228) 385-2550
(228) 432-7071

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
05972
MS

Other

Enumeration date
10/04/2006
Last updated
03/10/2017
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