Organization
COASTAL CARE PHARMACY INC
Active
Other names
MEDICAL PARK PHARMACY WEST
Organization subpart
No
Provider details
NPI number
Authorized official
FLETCHER JOHNSTON PHARMD (OWNER)
(252) 726-0279
Entity
Organization
Contact information
Practice address
278 HWY 24, STE M, MOREHEAD CITY, NC 28557
(252) 726-0279
(252) 726-0792
Mailing address
278 HWY 24, STE M, MOREHEAD CITY, NC 28557
(252) 726-0279
(252) 726-0792
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08384
NC
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165422
—
NC
01
—
2070226
PK
—
Enumeration date
07/30/2006
Last updated
12/19/2016
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