NPI 1518350669

Diamondhead Medicine, LLC

Organisation Community/Retail Pharmacy Diamondhead, MS

Practice location

Address: 5439 W Aloha Dr STE D, Diamondhead, MS 39525-3379
Phone: (228) 234-6236
Fax: (228) 831-9951
Mailing address: 20117 Box Cv, Saucier, MS 39574-8702

Authorised official

Name: Katherine Summer Gallotte
Title: President
Phone: (228) 234-6236

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 14259 (MS)

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Registry record

NPI: 1518350669
Entity type: Organization
NPI issued: 13 Mar 2015
Record last updated: 13 Mar 2015

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.