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General NPI Number Information
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NPI Number | 1356909089
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE PHARMACY LLC
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2337 PASS RD STE D
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City | BILOXI
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State | MS
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Zip | 39531-4000
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Country | US
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Telephone | 228-207-6730
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Fax | 228-207-6670
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Provider Business Mailing Address
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Address Line | 2337 PASS RD STE D
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City | BILOXI
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State | MS
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Zip | 39531-4000
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Country | US
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Telephone | 228-207-6730
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Fax | 228-207-6670
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | JENNIFER MCRIGHT
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Credential | R.PH.
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Telephone | 228-207-6730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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