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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