Organization
COASTAL INFUSION SERVICES LLC
Active
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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