Organization
COASTAL DRUG COMPANY LLC
Active
Other names
Coastal Drug Company, Coastal Drug Company LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HARNISH PATEL RPH (PHARMACIST IN CHARGE)
(912) 884-9255
Entity
Organization
Contact information
Practice address
204 BUTLER ST, MIDWAY, GA 31320
(912) 884-9255
(912) 884-9257
Mailing address
PO BOX 3, MIDWAY, GA 31320-0003
(912) 884-9255
(912) 884-9257
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005237
GA
Other
Enumeration date
12/15/2006
Last updated
08/09/2021
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