Coastal Pharmacy LLC

NPI #1811140841 in Portland, Maine

Provider Information

NPI Number: 1811140841
Entity Type: Organization
Organization Name: Coastal Pharmacy LLC
Primary Specialty: Pharmacy - Compounding Pharmacy
Enumeration Date: Nov 4, 2008
Last Updated: May 7, 2019

Practice Location

Address: 29 MARGINAL WAY
Address 2: SUITE 4
City: Portland
State: Maine
ZIP Code: 04101-1914
Phone: (207) 899-0886

Authorized Official

Name: CASSI Q BROOKS
Title: PRINCIPAL
Phone: (207) 899-0886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X	Primary

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