| NPI | 1568032480 |
|---|---|
| Doing Business As | COASTAL PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANTONY MCDERMOTT-ROTONARDO Managing Officer 713-343-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |