| NPI | 1962968404 |
|---|---|
| Doing Business As | COASTAL INFUSION SERVICES |
| Doing Business As | COASTAL PHARMACY SERVICES |
| Entity Type | Organization |
| Authorized Contact | HUNTER FARRAR Owner 985-792-9001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-12-03 |