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Organization
COASTAL FAMILY HEALTH CENTER INC
Active
Organization
COASTAL FAMILY HEALTH CENTER INC
Active
Other names
Coastal Family Health Center Gulfport
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA DUNAWAY (PHARMACIST IN CHARGE)
(288) 374-2494
Entity
Organization
Contact information
Practice address
9113 HIGHWAY 49 STE 200, GULFPORT, MS 39503-4330
(228) 374-2494
(228) 374-2713
Mailing address
10467 CORPORATE DR, GULFPORT, MS 39503-4634
(228) 374-2494
(228) 374-2713
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CS14729
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159236
PK
—
05
—
9013185
—
MS
Enumeration date
04/13/2016
Last updated
11/11/2025
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