# COASTAL DRUG COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Drug Company, Coastal Drug Company LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245392224
- **Authorized official:** HARNISH PATEL RPH (PHARMACIST IN CHARGE)
- **Authorized official phone:** (912) 884-9255

## Contact information

- **Practice address:** 204 BUTLER ST, MIDWAY, GA 31320
- **Practice address phone:** (912) 884-9255
- **Practice address fax:** (912) 884-9257
- **Mailing address:** PO BOX 3, MIDWAY, GA 31320-0003
- **Mailing address phone:** (912) 884-9255
- **Mailing address fax:** (912) 884-9257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE005237 | GA | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 08/09/2021