Organization
COASTAL DRUG COMPANY, LLC.
Active
Other names
Coastal Drug Company LTC
Organization subpart
No
Provider details
NPI number
Authorized official
HARNISH PATEL PHARMD (OWNER)
(912) 884-9255
Entity
Organization
Contact information
Practice address
204 BUTLER ST, MIDWAY, GA 31320-4596
(912) 884-9255
Mailing address
PO BOX 3, MIDWAY, GA 31320-0003
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/21/2023
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