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Organization
SOUTHERN CANCER CENTER, PC
Active
Organization
SOUTHERN CANCER CENTER, PC
Active
Other names
Coastal Pharmacy Springhill
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN PETTIS (EXECUTIVE DIRECTOR)
(251) 625-6896
Entity
Organization
Contact information
Practice address
3719 DAUPHIN ST., 5TH FLOOR, MOBILE, AL 36608-1769
(251) 607-5061
(251) 607-5062
Mailing address
29653 ANCHOR CROSS BLVD, DAPHNE, AL 36526-9594
(251) 625-6896
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
07/19/2023
Last updated
07/24/2023
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