Organization
MATT'S COASTAL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW OLIVIER PHARMD (OWNER)
(401) 619-5020
Entity
Organization
Contact information
Practice address
88 E MAIN RD, MIDDLETOWN, RI 02842-4912
(401) 575-6635
Mailing address
88 E MAIN RD, MIDDLETOWN, RI 02842-4912
(401) 619-5020
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
03/25/2024
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