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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