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NPI 1093144248 · live from the CMS NPI Registry

Coastal Pharmacies, LLC

Pharmacy in Waldport, OR. National Provider Identifier 1093144248, active.

NPI record

NPI1093144248 Type 2 · organization
StatusActive
Primary specialtyPharmacy 333600000X
Practice location110 Sw Arrow Street, Waldport, OR 97394
Practice phone541-563-6444
Mailing address916 W Evergreen Blvd, Vancouver, WA 98660
EnumeratedNovember 8, 2013
Last updatedMarch 5, 2014
Authorized officialGina Garrison, Asst Pharmacy Director
Other namesPharmacy Express #1183

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy primary333600000XRP0002596CS (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.