Organization
COASTAL PHARMACY LLC
Active
Other names
EAST COAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEEPAK AGGARWAL RPH (MANAGER)
(321) 747-0206
Entity
Organization
Contact information
Practice address
504 GARDEN ST, TITUSVILLE, FL 32796
(321) 747-0206
(321) 593-4319
Mailing address
112 FIG TREE RUN, LONGWOOD, FL 32750-4065
(321) 747-0206
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22782
FL
Other
Enumeration date
07/12/2007
Last updated
04/22/2014
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