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Organization

COASTAL PHARMACARE INC

Active
Other names
Coastal Pharmacare Inc
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD GRIFFS PHARM.D. (CEO)
(912) 222-5041
Entity
Organization

Contact information

Practice address
220 BYTHE ISLAND CONNECTOR, BRUNSWICK, GA 31520
(912) 261-7190
(912) 261-7191
Mailing address
220 BYTHE ISLAND CONNECTOR, BRUNSWICK, GA 31520
(912) 261-7190
(912) 261-7191

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
333600000X
Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
3336I0012X
Institutional Pharmacy
PHRE009505
GA
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2117229
PK
Enumeration date
09/30/2008
Last updated
09/21/2024
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