| NPI | 1316098486 |
|---|---|
| Doing Business As | GULF COAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAN EDWARD FARRIS Owner 941-255-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH19429) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |