COASTAL PHARMACY LABS LLC NPI 1477718385

NPI Information

COASTAL PHARMACY LABS LLC is a compounding pharmacy pharmacy in Savannah, GA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. COASTAL PHARMACY LABS LLC NPI is 1477718385. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Compounding Pharmacy.

The provider's business location address is:

6709 FOREST PARK DR STE A
SAVANNAH, GA
ZIP 31406-587
Phone: (912) 354-5188
Fax: (912) 355-3685

The provider's authorized official is Al Dixon .
The authorized official title is Owner and has the following contact phone number (912) 756-3331.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 9/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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