Organization
GULF COAST LLC
Active
Other names
Gulf Coast Sav-Rex Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA K CLARK (PHARMACIST)
(228) 471-4688
Entity
Organization
Contact information
Practice address
1965 MARKET ST, PASCAGOULA, MS 39567-5710
(228) 471-4688
Mailing address
1965 MARKET ST, PASCAGOULA, MS 39567-5710
(228) 471-4688
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7557
MS
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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