NPI 1053315671

Diamondhead Pharmacy & Gifts, INC

Organisation Community/Retail Pharmacy Diamondhead, MS

Practice location

Address: 4422 Kalani Dr, Diamondhead, MS 39525-3321
Phone: (228) 255-7343
Fax: (228) 255-1748

Authorised official

Name: William Russell Love
Title: President
Phone: (228) 255-7343

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 02113011 (MS)

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Registry record

NPI: 1053315671
Entity type: Organization
NPI issued: 10 Jun 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.