| NPI | 1710698717 |
|---|---|
| Former Legal Business Name | GULF HEALTH MANAGEMENT SERVICES, INC. |
| Doing Business As | MIMC SPECIALTY AND HOME INFUSION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MARK NIX President/CEO 251-625-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2024-03-18 |