Organization
THIRD COAST RX INC
Active
Other names
CARTERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CARTER (OWNER)
(561) 215-8984
Entity
Organization
Contact information
Practice address
600 CUTOFF RD, STE 16 17, PORT ARANSAS, TX 78373
(361) 749-6337
(361) 749-2331
Mailing address
600 CUTOFF RD, STE 16 17, PORT ARANSAS, TX 78373
(361) 749-6337
(361) 749-2331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4547038
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/14/2007
Last updated
01/19/2010
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