Coastal Pharmacy Llc
LBN: Southern Cancer Center P C
Coastal Pharmacy Llc is an health care organization with primary practice located at 29653 Anchor Cross Blvd Sutie A 101, Daphne AL 36526-9594. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Southern Cancer Center P C can be contacted via phone (251) 607-5061, or through Pettis, Lauren via phone (251) 625-6896.
Contact Information
Primary practice address
29653 Anchor Cross Blvd Sutie A 101
Daphne AL 36526-9594
Phone: (251) 607-5061
Fax: (251) 607-5062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1619215381 |
|---|---|
| LBN Legal business name | Southern Cancer Center P C |
| DBA Doing business as | Coastal Pharmacy Llc |
| Authorized official | Pettis, Lauren Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2013 |
| Last updated | Jul 24th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619215381 | NPPES |
| Other | 0138455 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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