# COASTAL PHARMACARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Pharmacare Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376793026
- **Authorized official:** RICHARD GRIFFS PHARM.D. (CEO)
- **Authorized official phone:** (912) 222-5041

## Contact information

- **Practice address:** 220 BYTHE ISLAND CONNECTOR, BRUNSWICK, GA 31520
- **Practice address phone:** (912) 261-7190
- **Practice address fax:** (912) 261-7191
- **Mailing address:** 220 BYTHE ISLAND CONNECTOR, BRUNSWICK, GA 31520
- **Mailing address phone:** (912) 261-7190
- **Mailing address fax:** (912) 261-7191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | PHRE009505 | GA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 09/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2117229 | PK | — |