Organization
COASTAL PHARMACIES, LLC
Active
Other names
PHARMACY EXPRESS #1183
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA D GARRISON (ASST PHARMACY DIRECTOR)
(360) 213-2236
Entity
Organization
Contact information
Practice address
110 SW ARROW STREET, WALDPORT, OR 97394
(541) 563-6444
(541) 563-6448
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP0002596CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0002596CS
RETAIL PHARMACY
OR
Enumeration date
11/08/2013
Last updated
03/05/2014
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