# COASTAL FAIRHOPE, LLC

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

## Provider details

- **NPI number:** 1487430591
- **Authorized official:** SAVANAH PAIGE CARTER PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (228) 218-3518

## Contact information

- **Practice address:** 19670 GREENO RD, FAIRHOPE, AL 36532-3840
- **Practice address phone:** (251) 929-9959
- **Practice address fax:** (251) 929-9958
- **Mailing address:** 19670 GREENO RD, FAIRHOPE, AL 36532-3840
- **Mailing address phone:** (251) 929-9959
- **Mailing address fax:** (251) 929-9958

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2023
- **Last updated:** 11/29/2023