Search › Mississippi › 183500000X
Matthew Illich, PHARMD
NPI 1558972307 · on the registry since 2020
Practice
- Address
- 1417 E Pass Rd
Gulfport, MS 39507 - Phone
- (228) 896-3870
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 6970 Old Canton Rd, Ridgeland, MS
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi