# COASTAL MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICAL CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992791974
- **Authorized official:** ALEX TUCKER PHARMD (PRESIDENT OWNER PHARMACIST)
- **Authorized official phone:** (912) 756-3331

## Contact information

- **Practice address:** 4700 WATERS AVE, SAVANNAH, GA 31404-6220
- **Practice address phone:** (912) 350-6337
- **Practice address fax:** (912) 350-7457
- **Mailing address:** PO BOX 1060, RICHMOND HILL, GA 31324-1060
- **Mailing address phone:** (912) 756-3331
- **Mailing address fax:** (912) 756-5904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE000346 | GA | Yes |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 03/18/2025