| NPI | 1811140841 |
|---|---|
| Doing Business As | COASTAL PHARMACY & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CASSI Q BROOKS Principal 207-899-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2019-05-07 |