10D2192059 CLIA NUMBER - COASTALMED OF FLORIDA LLC

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Laboratory Demographics

CLIA Number: 10D2192059

Facility Name: COASTALMED OF FLORIDA LLC

Facility Address:
433 N MACARTHUR AVE
PANAMA CITY, FL
ZIP 32401
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Facility Phone Number: (850) 872-8900

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1528202447

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	10D2192059
LAB Type	PHARMACY
Facility Name	COASTALMED OF FLORIDA LLC
Street	433 N MACARTHUR AVE
City	PANAMA CITY
State	FL
ZIP	32401
Phone	(850) 872-8900

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This page was last updated on: 5/11/2023