Organization
MEDCOAST PHARMACY CORP
Active
Other names
MEDCOAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NIMA NOURMAND PHARM D (PRESIDENT/CEO/CFO/SECRETARY/DIRECTO)
(747) 253-7306
Entity
Organization
Contact information
Practice address
2040 GLENOAKS BLVD STE C, SAN FERNANDO, CA 91340-1660
(747) 253-7306
(747) 253-7356
Mailing address
2040 GLENOAKS BLVD STE C, SAN FERNANDO, CA 91340-1660
(747) 253-7306
(747) 253-7356
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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