Organization
MEDICAL ARTS PHARMACY
Active
Other names
MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PITALO (OWNER)
(228) 432-7071
Entity
Organization
Contact information
Practice address
120 CAILLAVET ST, BILOXI, MS 39530-4102
(228) 432-7071
(228) 432-7910
Mailing address
120 CAILLAVET ST, BILOXI, MS 39530-4102
(228) 432-7071
(228) 432-7910
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00424011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033103
—
MS
01
—
2050617
PK
—
Enumeration date
06/22/2006
Last updated
02/28/2017
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