Organization
COASTAL PHARMACY, INC.
Active
Other names
Hinesville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX S TUCKER PHARMD (PHARMACIST)
(912) 756-3331
Entity
Organization
Contact information
Practice address
481 ELMA G MILES PKWY, HINESVILLE, GA 31313-4006
(912) 876-8125
(912) 876-4387
Mailing address
PO BOX 1060, RICHMOND HILL, GA 31324-1060
(912) 756-3331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020913
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104075
NABP
GA
05
—
119106408A
—
GA
Enumeration date
09/08/2005
Last updated
08/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us