Organization
COASTAL CANCER CENTER LLC
Active
Other names
Coastal Cancer Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK GRIER (PHARMACIST)
(843) 933-7513
Entity
Organization
Contact information
Practice address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 429-5055
Mailing address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 429-5055
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17849
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176719
PK
—
Enumeration date
04/04/2018
Last updated
07/30/2025
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