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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