| NPI | 1740584770 |
|---|---|
| Doing Business As | SOUTHCOAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN MARRERO Practice Administrator 912-303-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: GA PHRE009720) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2017-02-14 |