OrganizationActive
Beach Pharmacy Inc
NPI 1780419028 · Long Term Care Pharmacy · Gulfport, MS
Provider details
- NPI number
- 1780419028
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jason Krohn, President(228) 896-7070
Specialties & taxonomies
Suppliers
Practice location
1110 Cowan Rd
Gulfport, MS 39507-3441
Phone: (228) 896-7070
Fax: (228) 896-2843
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Cowan Rd
Gulfport, MS 39507-3441
Other names (DBA / former)
- Doing business as
- Beach Pharmacy
Registry dates
- Enumerated
- 2024-09-05
- Last updated
- 2024-09-05
- Certified
- 2024-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.