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SOUTHERN CANCER CENTER, PC
NPI 1962282178
Pharmacy in Mobile, AL

Active since October 04, 2023
6701 AIRPORT BLVD., 'B' BLDG., 'T' LEVEL, MOBILE, AL 36608(251) 607-5061 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Cancer Center, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN CANCER CENTER, PC (NPI 1962282178), doing business as Coastal Pharmacy Providence, is a healthcare organization registered as a pharmacy in Mobile, Alabama and active in the NPI registry since October 2023. The organization lists Lauren Pettis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1962282178
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTHERN CANCER CENTER, PC
Location Address6701 AIRPORT BLVD., 'B' BLDG., 'T' LEVELMobile, AL 36608-3764
Mailing AddressSouthern Cancer Center, Pc Dba Coastal Pharm Providence, 29653 Anchor Cross Blvd.Daphne, AL 36526-9594 · (251) 607-5061
Phone(251) 607-5061
Organization SubpartNo
Authorized OfficialLauren PettisExecutive Director · (251) 625-6896
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 2, 2023
✔ NPI 1962282178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
6701 AIRPORT BLVD., Mobile, AL 36608
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Other Names 1

Doing Business AsCoastal Pharmacy Providence

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE ANN FOUTS CRNP
Nurse Practitioner (Gerontology)
6701 AIRPORT BLVD., B BLDG., T LEVEL
MOBILE, AL 36608
Mobile County (251) 625-6896
JESSICA LEIGH FUQUA NP
Nurse Practitioner (Family)
6701 AIRPORT BLVD., 'B' BLDG., 'T' LEVEL
MOBILE, AL 36608
Mobile County (251) 625-6896
SUSANNA ELIZABETH PITRUZZELLO CRNP
Nurse Practitioner (Family)
6701 AIRPORT BLVD., B BLDG., T LEVEL
MOBILE, AL 36608
Mobile County (251) 625-6896
PROVIDENCE HOME MEDICAL SERVICES, LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
6701 AIRPORT BLVD., STE. B-121
MOBILE, AL 36608
Mobile County (251) 633-7491

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Cancer Center, PC's NPI number?

The NPI number for Southern Cancer Center, PC is 1962282178. It was assigned to this organization in the NPPES registry on October 4, 2023. The provider is doing business as Coastal Pharmacy Providence.

Where is Southern Cancer Center, PC located?

Southern Cancer Center, PC is located at 6701 Airport Blvd. 'b' Bldg., 't' Level, Mobile, AL 36608. The listed phone number is (251) 607-5061.

What is Southern Cancer Center, PC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Southern Cancer Center, PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Southern Cancer Center, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Cancer Center, PC was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.