| NPI | 1841527785 |
|---|---|
| Doing Business As | COASTAL APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | PAIGE COUPER President 843-645-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: SC PY 10704) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2010-07-13 |