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Organization
COASTAL FAMILY HEALTH CENTER, INC.
Active
Organization
COASTAL FAMILY HEALTH CENTER, INC.
Active
Other names
Coastal Family Health Center - Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK HUTTO (PHARMACIST IN CHARGE)
(228) 394-2494
Entity
Organization
Contact information
Practice address
1029 DIVISION ST STE B, BILOXI, MS 39530-2969
(228) 374-2494
(228) 436-4258
Mailing address
10467 CORPORATE DR, GULFPORT, MS 39503-4634
(228) 374-2494
(228) 396-3457
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9013185
—
MS
Enumeration date
06/16/2009
Last updated
08/15/2024
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