NPI | 1003646951 |
---|---|
Doing Business As | COASTAL FAMILY HEALTH PHARMACY WIGGINS |
Entity Type | Organization |
Authorized Contact | PATRICK HUTTO Director Of Pharmacy Services 228-374-2476 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2024-08-06 |
Last Update Date | 2024-11-06 |