Individual
STEPHEN PISARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12372 HIGHWAY 49, GULFPORT, MS 39503-2741
(228) 832-1414
(228) 832-1479
Mailing address
12372 HIGHWAY 49, GULFPORT, MS 39503-2741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010351
MS
Other
Enumeration date
10/18/2011
Last updated
09/13/2023
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