Organization
COASTAL INFUSION SERVICES LLC
Active
Other names
Coastal Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUNTER FARRAR PHARMD (MANAGER)
(985) 900-4857
Entity
Organization
Contact information
Practice address
190 GREENBRIER BLVD STE 105, COVINGTON, LA 70433-7237
(833) 285-5500
Mailing address
190 GREENBRIER BLVD STE 105, COVINGTON, LA 70433-7237
(833) 285-5500
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
09/10/2019
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