| 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 |