Coastal Specialty Pharmacy LLC
NPI #1598009573 in Santa Rosa Beach, Florida
Provider Information
- NPI Number
- 1598009573
- Entity Type
- Organization
- Organization Name
- Coastal Specialty Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Nov 15, 2012
- Last Updated
- Nov 15, 2012
Practice Location
- Address
- 2050 W COUNTY HIGHWAY 30A
- Address 2
- M1-106
- City
- Santa Rosa Beach
- State
- Florida
- ZIP Code
- 32459-0187
- Phone
- (850) 622-3315
Authorized Official
- Name
- JOAN ELLISON, PHARMD
- Title
- MGMR
- Phone
- (850) 622-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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