Organization
MEMORIAL HOSPITAL OF GULFPORT
Active
Other names
MHG EMPLOYEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT JOSEPH KWITZKY PHARMACIST (EMPLOYEE PHARMACY COORDINATOR)
(228) 865-3045
Entity
Organization
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 865-3525
(228) 865-3618
Mailing address
PO BOX 1810, 4500 13TH ST, GULFPORT, MS 39502-1810
(228) 865-3525
(228) 865-3618
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155003.1
STATE LICENSE
MS
05
—
20027
—
MS
Enumeration date
03/13/2007
Last updated
03/07/2023
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