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COASTAL PHARMACY LABS LLC

Medical Equipment Supplier Yellow Pages

Savannah, Georgia

Provider NPI: 1477718385

Organization Information:
Organization Name:  COASTAL PHARMACY LABS LLC


Practice Location:
6709 FOREST PARK DR STE A  SAVANNAH, GA 31406 US
Tel: 912-354-5188  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
GAPHRE009634

Other Provider Identifiers:

IssuerNumberStateType
PK214198501
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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