Organization
NORTH HALSTEAD, LLC
Active
Other names
Coastal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CARTER (OWNER)
(228) 215-1911
Entity
Organization
Contact information
Practice address
998 NORTH HALSTEAD ROAD, SUITE A, OCEAN SPRINGS, MS 39564-3860
(228) 215-1911
(228) 215-1906
Mailing address
998 NORTH HALSTEAD ROAD, SUITE A, OCEAN SPRINGS, MS 39564-3860
(228) 215-1911
(228) 215-1906
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14333/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2590328
NCPDP
—
Enumeration date
06/18/2015
Last updated
05/06/2016
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