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:
Map and Directions
Authorized official contact:
Name: Pettis, Lauren Registered Nurse (RN)
Phone: (251) 625-6896

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619215381 NPPES
Other 0138455 NCPDP PROVIDER IDENTIFICATION NUMBER

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