Gulf Coast Dermatology & Skin Care Centre
Pharmacy in Mobile, AL. Organization (NPI-2).
NPI number1184078024
StatusActive
Last updated in NPPESMar 14, 2025
Details
- NPI
- 1184078024
- Entity type
- Organization (NPI-2)
- Legal business name
- Gulf Coast Dermatology & Skin Care Centre
- Organization subpart
- Yes
- Enumeration date
- Apr 18, 2016
- Last updated
- Mar 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 114611 | AL | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Advanced Care Pharmacy (Doing Business As)
Practice location
580 Providence Park Dr. EastSuite 202
Mobile, AL 36695
Phone 251-241-0071 · Fax 251-202-9163
Mailing address
1620 W. Northwest HighwaySuite 100
Grapevine, TX 76051
Phone 817-572-0009 · Fax 817-572-0221
Authorized official
Thomas Bender
Managing Officer
2512410071
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