Organization
RIDGELAND DRUG COMPANY INC
Active
Other names
Coastal Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE COUPER (PRESIDENT)
(843) 645-0800
Entity
Organization
Contact information
Practice address
149 RIVERWALK BLVD STE 1, RIDGELAND, SC 29936-8191
(843) 645-0800
(843) 645-0801
Mailing address
149 RIVERWALK BLVD, SUITE 18, BOX 191, RIDGELAND, SC 29936-8190
(843) 645-0800
(843) 645-0801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PY 10704
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4229351
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/13/2009
Last updated
07/13/2010
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