Memorial Outpatient Pharmacy

LBN: Memorial Hospital At Gulfport
Memorial Outpatient Pharmacy is an health care organization with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Memorial Hospital At Gulfport can be contacted via phone (228) 865-3525, or through Dumal, Jennifer via phone (228) 865-3542.

Contact Information

Primary practice address
4500 13Th St Gulfport MS 39501-2515
Phone: (228) 865-3525
Fax: (228) 865-3618
Website:
Map and Directions
Authorized official contact:
Name: Dumal, Jennifer
Phone: (228) 865-3542

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 14971 Mississippi
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1073063327
LBN Legal business name Memorial Hospital At Gulfport
DBA Doing business as Memorial Outpatient Pharmacy
Authorized official Dumal, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2016
Last updated Dec 17th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073063327 NPPES
Other 2162560 PK
MEDICAID 05383367 PK

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