Organization
TRI-COAST PHARMACY, INC.
Active
Other names
Tri-Coast Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DARSHANA PATEL (GENERAL MANAGER)
(561) 776-7510
Entity
Organization
Contact information
Practice address
14125 US HIGHWAY 1, JUNO BEACH, FL 33408-1425
(561) 776-7510
(561) 776-7522
Mailing address
14125 US HIGHWAY 1, JUNO BEACH, FL 33408-1425
(561) 776-7510
(561) 776-7522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
25289
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131462
PK
—
Enumeration date
08/16/2011
Last updated
01/18/2017
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