| NPI | 1770398422 |
|---|---|
| Doing Business As | COASTAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FLORA MARIE WADE Managing Member 442-257-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |