# COASTAL FAMILY HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Family Health Pharmacy Wiggins
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003646951
- **Authorized official:** PATRICK HUTTO (DIRECTOR OF PHARMACY SERVICES)
- **Authorized official phone:** (228) 374-2476

## Contact information

- **Practice address:** 1407 CENTRAL AVE E, WIGGINS, MS 39577-9611
- **Practice address phone:** (601) 385-0077
- **Practice address fax:** (601) 385-0078
- **Mailing address:** 10467 CORPORATE DR, GULFPORT, MS 39503-4634
- **Mailing address phone:** (228) 374-2494
- **Mailing address fax:** (228) 396-3457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/06/2024
- **Last updated:** 11/06/2024