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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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