| NPI | 1134583305 |
|---|---|
| Doing Business As | COASTAL FAMILY HEALTH CENTER GULFPORT |
| Entity Type | Organization |
| Authorized Contact | RHONDA DUNAWAY Pharmacist In Charge 288-374-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS CS14729) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2018-07-27 |