NPI 1124506498

Kanif Group LLC

Organisation Community/Retail Pharmacy Gulfport, MS

Practice location

Address: 2709 25th Avenue Units C&d, Gulfport, MS 39501-4834
Phone: (228) 357-5353
Fax: (228) 357-5354
Mailing address: P.O. Box 4445, Biloxi, MS 39535-4445

Authorised official

Name: Nga Hoang Nguyen
Title: Manager/Member
Phone: (228) 424-2086

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 171891.1 (MS)

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Registry record

NPI: 1124506498
Entity type: Organization
NPI issued: 30 Jul 2018
Record last updated: 11 Jul 2019

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.