Healthcare Provider Details

I. General information

NPI: 1487657995
Provider Name (Legal Business Name): HMP PHARMACEUTICALS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 12/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2381 E PASS RD STE B
GULFPORT MS
39507
US

IV. Provider business mailing address

1655 OAKBROOK DR SUITE B
GAINESVILLE GA
30507-8492
US

V. Phone/Fax

Practice location:
  • Phone: 228-896-1873
  • Fax: 228-868-3001
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number06355
License Number StateMS

VIII. Authorized Official

Name: ERIC PARKHILL
Title or Position: VICE PRESIDENT
Credential:
Phone: 770-533-9404