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NPI Code Detail

MEDICARE: HMP PHARMACEUTICALS, LLC

MEDICARE: HMP PHARMACEUTICALS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336M0002XMail Order Pharmacy06355MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12586379OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1487657995
Entity Type Code : Organization
Provider Name (Legal Business Name) : HMP PHARMACEUTICALS, LLC
Provider Business Mailing Address
First Line : 1655 OAKBROOK DR
Second Line : SUITE B
City : GAINESVILLE
State : GA
Zip : 30507-8492
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2381 E PASS RD STE B
Second Line :
City : GULFPORT
State : MS
Zip : 39507
Country : US
Telephone Number : 228-896-1873
Fax Number : 228-868-3001
Authorized Official
Title or Position : VICE PRESIDENT
Name : ERIC PARKHILL
Credential :
Telephone Number : 770-533-9404
Provider Enumeration Date : 05/31/2005
Last Update Date : 12/29/2008

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Directions to “HMP PHARMACEUTICALS, LLC ” Practice Location

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