Organization · Type 2 NPI

Memorial Hospital at Gulfport

Community/Retail Pharmacy · Gulfport, MS

NPI number 1073063327 Active

Practice location

4500 13th St
Gulfport, MS 39501-2515

Call (228) 865-3525 Map

Fax (228) 865-3618

Mailing address

PO Box 1810
Gulfport, MS 39502-1810

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	14971 (MS)
Compounding Pharmacy	3336C0004X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

257 other providers at this address

Other community/retail pharmacy providers in Gulfport

See all in Gulfport →

NPI record

NPI: 1073063327
Entity type: Organization (Type 2)
Issued: Oct 11, 2016
Last updated: Dec 17, 2019
Status: Active

Other names

<unavail>
Memorial Outpatient Pharmacy · doing business as
Memorial Outpatient Pharmacy · doing business as

Authorized official

Jennifer Dumal
COO
(228) 865-3542

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1073063327

Memorial Hospital at Gulfport's National Provider Identifier is 1073063327, issued on Oct 11, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Gulfport, MS. The record was last updated on Dec 17, 2019.