| NPI | 1396482394 |
|---|---|
| Doing Business As | COASTAL MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | JAMIE DAUGHERTY CEO 541-512-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2023-07-03 |