| NPI | 1659862936 |
|---|---|
| Doing Business As | COAST COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LINDA MAXON CEO 541-347-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0003382-cs) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |