Organization
COASTAL MEDICAL SERVICES LLC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX TUCKER PHARMD (PRESIDENT OWNER PHARMACIST)
(912) 756-3331
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-6337
(912) 350-7457
Mailing address
PO BOX 1060, RICHMOND HILL, GA 31324-1060
(912) 756-3331
(912) 756-5904
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000346
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00943709A
—
GA
01
—
2014514
PK
—
Enumeration date
09/23/2005
Last updated
03/18/2025
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