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COASTAL PHARMACY SERVICES LLC NPI 1962968404


NPI Information

NPI: 1962968404
Provider Name: COASTAL PHARMACY SERVICES LLC

Doing Business As: COASTAL PHARMACY SERVICES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
190 GREENBRIER BLVD STE 105
COVINGTON, LA
ZIP 70433
Phone: (985) 900-2416
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COASTAL PHARMACY SERVICES LLC is a multi-specialty clinic center in Covington, LA. COASTAL PHARMACY SERVICES LLC NPI is 1962968404. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Pharmacy Services.

The provider's business location address is:

190 GREENBRIER BLVD STE 105
COVINGTON, LA
ZIP 70433-237
Phone: (985) 900-2416
Fax: (985) 900-2436

The provider's authorized official is Hunter Farrar .
The authorized official title is Owner and has the following contact phone number (985) 792-9001.

The enumeration date for this NPI number is 2/20/2019 and was last updated on 12/3/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12206672MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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