# RIDGELAND DRUG COMPANY INC

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

## Provider details

- **NPI number:** 1841527785
- **Authorized official:** PAIGE COUPER (PRESIDENT)
- **Authorized official phone:** (843) 645-0800

## Contact information

- **Practice address:** 149 RIVERWALK BLVD STE 1, RIDGELAND, SC 29936-8191
- **Practice address phone:** (843) 645-0800
- **Practice address fax:** (843) 645-0801
- **Mailing address:** 149 RIVERWALK BLVD, SUITE 18, BOX 191, RIDGELAND, SC 29936-8190
- **Mailing address phone:** (843) 645-0800
- **Mailing address fax:** (843) 645-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | PY 10704 | SC | Yes |

## Other

- **Enumeration date:** 11/13/2009
- **Last updated:** 07/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4229351 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |