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Contact Information

COASTAL PHARMACY LLC
504 GARDEN ST
TITUSVILLE, FL32796
 Phone: 321-747-0206
 Fax: 321-593-4319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COASTAL PHARMACY LLC

NPI Number 1528267499
LBN Legal business name COASTAL PHARMACY LLC
Authorized official DEEPAK AGGARWAL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2007
Last updated 04/22/2014 - About 12 years ago
Identifiers
FL License # PH22782
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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