Organization
COASTAL PHARMACIES, LLC
Active
Other names
Pharmacy Express #1189
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
308B S REDWOOD HWY, CAVE JUNCTION, OR 97523
(541) 592-4555
(541) 592-6776
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
RP0001452CS
OR
Other
Enumeration date
11/08/2013
Last updated
03/05/2014
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