NPI | 1184767030 |
---|---|
Doing Business As | COASTAL MEDICAL - LINCOLN |
Entity Type | Organization |
Authorized Contact | KENNY HEINE Sr. Dir. Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: RI MD07939) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2012-10-17 |