# COASTAL CARE PHARMACY - ALABASTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COASTAL CARE PHARMACY LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457919151
- **Legal business name:** COASTAL CARE PHARMACY LLC
- **Authorized official:** CHARLES J SHIRLEY (OWNER/PARTNER)
- **Authorized official phone:** (205) 246-2491

## Contact information

- **Practice address:** 7895 HIGHWAY 119 STE 6, ALABASTER, AL 35007-7554
- **Practice address phone:** (205) 621-8407
- **Practice address fax:** (844) 270-6744
- **Mailing address:** 7895 HIGHWAY 119 STE 6, ALABASTER, AL 35007-7554
- **Mailing address phone:** (205) 621-8407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/29/2019
- **Last updated:** 01/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 237048 | — | AL |