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Organization
COASTAL CANCER CENTER LLC
Active
Organization
COASTAL CANCER CENTER LLC
Active
Other names
Coastal Cancer Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK GRIER (PHARMACIST)
(843) 933-7513
Entity
Organization
Contact information
Practice address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 429-5055
Mailing address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 429-5055
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
17849
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176719
PK
—
Enumeration date
04/04/2018
Last updated
07/30/2025
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