| NPI | 1508123969 |
|---|---|
| Doing Business As | GULF COAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CLINT FOWLER Managing Member 281-851-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: TX 27893) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-09-06 |