Organization
COASTAL FAMILY HEALTH CENTER, INC
Active
Other names
Coastal Family Health Pharmacy Wiggins
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK HUTTO (DIRECTOR OF PHARMACY SERVICES)
(228) 374-2476
Entity
Organization
Contact information
Practice address
1407 CENTRAL AVE E, WIGGINS, MS 39577-9611
(601) 385-0077
(601) 385-0078
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
—
—
Other
Enumeration date
08/06/2024
Last updated
11/06/2024
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