Southern Cancer Center, PC

NPI #1962282178 in Mobile, Alabama

Provider Information

NPI Number: 1962282178
Entity Type: Organization
Organization Name: Southern Cancer Center, PC
Primary Specialty: Pharmacy
Enumeration Date: Oct 4, 2023
Last Updated: Oct 4, 2023

Practice Location

Address: 6701 AIRPORT BLVD.
Address 2: 'B' BLDG., 'T' LEVEL
City: Mobile
State: Alabama
ZIP Code: 36608-3764
Phone: (251) 607-5061

Authorized Official

Name: LAUREN PETTIS
Title: EXECUTIVE DIRECTOR
Phone: (251) 625-6896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy - Specialty Pharmacy — Specialty Pharmacy	3336S0011X
Pharmacy	333600000X	Primary

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