Organization
G MED II LLC
Active
Other names
North Gulfport Discount Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE SUMMER GALLOTTE (PRESIDENT)
(228) 265-5193
Entity
Organization
Contact information
Practice address
4723 TENNESSEE AVE, GULFPORT, MS 39501-8130
(228) 265-5193
(228) 265-5197
Mailing address
20117 BOX CV, SAUCIER, MS 39574-8702
(228) 234-6236
(228) 265-5197
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
14259/1.1
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164275
PK
—
Enumeration date
09/20/2016
Last updated
01/06/2023
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