Organization
COASTAL PHARMACIES, LLC
Active
Other names
Waldport Drug and Gift #1187
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI VEIS (VP OF PHARMACY)
(503) 507-6073
Entity
Organization
Contact information
Practice address
110 SW HIGHWAY 101, WALDPORT, OR 97394-3035
(541) 563-4848
(541) 563-4747
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP0001011CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3813424
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/05/2006
Last updated
12/17/2024
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