Organization
COASTALMED OF FLORIDA LLC
Active
Other names
Coastalmed of Florida LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH MATHES (PHARMACY MANAGER)
(850) 872-8900
Entity
Organization
Contact information
Practice address
433 N MACARTHUR AVE, PANAMA CITY, FL 32401-3767
(850) 872-8900
(850) 872-1321
Mailing address
433 N MACARTHUR AVE, PANAMA CITY, FL 32401-3767
(850) 872-8900
(850) 872-1321
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH24009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119882
PK
—
Enumeration date
04/22/2009
Last updated
10/02/2019
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