Organization
PACIFIC COAST DRUG CO.INC.
Active
Organization
PACIFIC COAST DRUG CO.INC.
Active
Other names
MAIN STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ALEXANDER (PRESIDENT)
(831) 424-1953
Entity
Organization
Contact information
Practice address
1182 S MAIN ST, SALINAS, CA 93901-2204
(831) 424-1953
(831) 424-6164
Mailing address
1172 S MAIN ST, SUITE 364, SALINAS, CA 93901-2204
(831) 424-1953
(831) 424-6164
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY 38255
CA
3336C0002X
Clinic Pharmacy
PHY 38255
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 38255
CA
3336C0004X
Compounding Pharmacy
PHY 38255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA366140
—
CA
Enumeration date
12/12/2006
Last updated
01/19/2011
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