Organization
SOUTHERN CANCER CENTER, PC
Active
Other names
Coastal Pharmacy Providence
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN PETTIS (EXECUTIVE DIRECTOR)
(251) 625-6896
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD., 'B' BLDG., 'T' LEVEL, MOBILE, AL 36608-3764
(251) 607-5061
Mailing address
SOUTHERN CANCER CENTER, PC DBA COASTAL PHARM PROVIDENCE, 29653 ANCHOR CROSS BLVD., DAPHNE, AL 36526-9594
(251) 607-5061
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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