# COASTAL FAMILY HEALTH CENTER, INC.

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

## Provider details

- **NPI number:** 1740417922
- **Authorized official:** PATRICK HUTTO (PHARMACIST IN CHARGE)
- **Authorized official phone:** (228) 394-2494

## Contact information

- **Practice address:** 1029 DIVISION ST STE B, BILOXI, MS 39530-2969
- **Practice address phone:** (228) 374-2494
- **Practice address fax:** (228) 436-4258
- **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:** 06/16/2009
- **Last updated:** 08/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9013185 | — | MS |