| NPI | 1568998151 |
|---|---|
| Doing Business As | COASTAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DARREN BUSS President 757-800-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2019-01-04 |