Organization
DIAMONDHEAD MEDICINE, LLC
Active
Other names
DIAMONDHEAD FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE SUMMER GALLOTTE (PRESIDENT)
(228) 234-6236
Entity
Organization
Contact information
Practice address
5439 W ALOHA DR STE D, DIAMONDHEAD, MS 39525-3379
(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
14259
MS
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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