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NPI 1487657995

NPI 1487657995 : HMP PHARMACEUTICALS, LLC : GULFPORT, MS

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General NPI Number Information
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    NPI Number           |    1487657995
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    Entity Type          |    Organization 
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    Legal Business Name  |    HMP PHARMACEUTICALS, LLC 
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Dates
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    Enumeration Date     |    05/31/2005
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    Last Update Date     |    12/29/2008
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Provider Practice Location Address
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    Address Line         |    2381 E PASS RD STE B 
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    City                 |    GULFPORT
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    State                |    MS
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    Zip                  |    39507
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    Country              |    US
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    Telephone            |    228-896-1873
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    Fax                  |    228-868-3001
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Provider Business Mailing Address
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    Address Line         |    1655 OAKBROOK DR SUITE B
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    City                 |    GAINESVILLE
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    State                |    GA
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    Zip                  |    30507-8492
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     ERIC  PARKHILL 
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    Credential           |    
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    Telephone            |    770-533-9404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336M0002X
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    Taxonomy Name        |    Mail Order Pharmacy
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    License Number       |    06355
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    License Number State |    MS
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