Organization
COASTAL CARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J SHIRLEY (VICE-PRESIDENT)
(205) 246-2491
Entity
Organization
Contact information
Practice address
11939 PANAMA CITY BEACH PKWY, PANAMA CITY, FL 32407-2605
(850) 346-8868
Mailing address
7895 HIGHWAY 119, SUITE 1, ALABASTER, AL 35007
(850) 346-8868
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28172
FL
Other
Enumeration date
05/29/2014
Last updated
06/11/2019
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