| NPI | 1831570522 |
|---|---|
| Doing Business As | COASTAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN CARTER Owner 228-215-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 14333/1.1) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2016-05-06 |