Organization
COASTAL COMMUNITY HEALTH SERVICES, INC.
Active
Other names
Coastal Community Pharmacy #103
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVANAUGH CHANDLER (CEO)
(912) 275-8028
Entity
Organization
Contact information
Practice address
5772 WATERS AVE, SAVANNAH, GA 31404-6240
(912) 483-0041
Mailing address
100 PROFESSIONAL CENTER DR, BRUNSWICK, GA 31525-6743
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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