NPI | 1932298619 |
---|---|
Doing Business As | COASTAL COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | EPHREM DEGEFU Phcy Manager 561-683-1095 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH22257) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2016-06-20 |