Organization
SINGING RIVER GULFPORT
Active
Other names
The Pharmacy at Singing River Gulfport
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FRATESI (PHARMACY DIRECTOR)
(228) 818-2109
Entity
Organization
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7365
(228) 575-7368
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2593540
NCPDP
MS
Enumeration date
04/27/2022
Last updated
06/14/2022
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