| NPI | 1184917429 |
|---|---|
| Doing Business As | GULF COAST PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID BUSH Pharmacist 251-404-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113142) |
| Additional Taxonomies | 3336N0007X Pharmacy, Nuclear Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-09-27 |