Organization
COASTAL CARE PHARMACY INC
Active
Other names
Medical Park Pharmacy West
Organization subpart
No
Provider details
NPI number
Authorized official
FLETCHER JOHNSTON (PRESIDENT)
(252) 726-0279
Entity
Organization
Contact information
Practice address
278 HWY 24, SUITE M, MOREHEAD CITY, NC 28557-2582
(252) 726-0279
(252) 726-0792
Mailing address
278 HWY 24, SUITE M, MOREHEAD CITY, NC 28557-2582
(252) 726-0279
(252) 726-0792
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
8384
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165422
—
NC
Enumeration date
04/22/2011
Last updated
04/22/2011
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