Organization
KANIF GROUP LLC
Active
Parent organization
KANIF GROUP LLC
Other names
Value Drug Mart
Organization subpart
Yes
Provider details
NPI number
Legal business name
KANIF GROUP LLC
Authorized official
MS. NGA HOANG NGUYEN PHARM.D (MANAGER/MEMBER)
(228) 424-2086
Entity
Organization
Contact information
Practice address
2709 25TH AVENUE, UNITS C&D, GULFPORT, MS 39501-4834
(228) 357-5353
(228) 357-5354
Mailing address
P.O. BOX 4445, BILOXI, MS 39535-4445
(228) 207-0960
(228) 207-2787
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
171891.1
MS
Other
Enumeration date
07/30/2018
Last updated
07/11/2019
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