Organization
COASTAL PLAZA PHARMACY LLC
Active
Other names
Coastal Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONY MCDERMOTT-ROTONARDO (MANAGING OFFICER)
(713) 343-2299
Entity
Organization
Contact information
Practice address
501 GULF FWY S STE 108, LEAGUE CITY, TX 77573-3537
(713) 343-2299
Mailing address
501 GULF FWY S STE 108, LEAGUE CITY, TX 77573-3537
(713) 343-2299
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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