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COASTAL FAMILY HEALTH CENTER INC NPI 1134583305


NPI Information

NPI: 1134583305
Provider Name: COASTAL FAMILY HEALTH CENTER INC

Doing Business As: COASTAL FAMILY HEALTH CENTER GULFPORT

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
9113 HIGHWAY 49 STE 200
GULFPORT, MS
ZIP 39503
Phone: (228) 374-2494
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COASTAL FAMILY HEALTH CENTER INC is a community/retail pharmacy pharmacy in Gulfport, MS. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COASTAL FAMILY HEALTH CENTER INC NPI is 1134583305. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Family Health Center Gulfport.

The provider's business location address is:

9113 HIGHWAY 49 STE 200
GULFPORT, MS
ZIP 39503-330
Phone: (228) 374-2494
Fax: (228) 374-2713

The provider's authorized official is Rhonda Dunaway .
The authorized official title is Pharmacist In Charge and has the following contact phone number (288) 374-2494.

The enumeration date for this NPI number is 4/13/2016 and was last updated on 7/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyCS14729MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19013185MEDICAIDMISSISSIPPI
22159236OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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