Organization · Type 2 NPI

Coastal Medical, Inc.

Non-Pharmacy Dispensing Site · Providence, RI

NPI number 1114124864 Active

Practice location

1075 Smith St, 2nd Floor
Providence, RI 02908-2700

Call (401) 421-4400 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XMD08852 (RI)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

8 other providers at this address

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About NPI 1114124864

Coastal Medical, Inc.'s National Provider Identifier is 1114124864, issued on Jun 27, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Providence, RI. The record was last updated on Oct 24, 2013.