Organization
SGSP, INC
Active
Other names
LYMAN PHARMACY 49
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE SUMMER GALLOTTE (PRESIDENT)
(228) 234-6236
Entity
Organization
Contact information
Practice address
12372 HIGHWAY 49, GULFPORT, MS 39503-2741
(228) 234-6236
(228) 831-9951
Mailing address
20117 BOX CV, SAUCIER, MS 39574-8702
(228) 234-6236
(228) 831-9951
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/30/2019
Last updated
07/04/2019
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