Organization
COASTAL PHARMACY LLC
Active
Other names
EAST COAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK AGGARWAL RPH (MANAGER)
(321) 747-0206
Entity
Organization
Contact information
Practice address
504 GARDEN ST, TITUSVILLE, FL 32796-3405
(321) 747-0206
(321) 593-4319
Mailing address
504 GARDEN ST, TITUSVILLE, FL 32796-3405
(321) 747-0206
(321) 593-4319
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH22782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032151600
—
FL
Enumeration date
11/20/2017
Last updated
11/20/2017
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