Organization · Type 2 NPI

Coastal Pharmacy Services LLC

Multi-Specialty Clinic/Center · Covington, LA

NPI number 1962968404 Active

Practice location

190 Greenbrier Blvd Ste 105
Covington, LA 70433-7237

Call (985) 900-2416 Map

Fax (985) 900-2436

Mailing address

1922 Highway 22 W Ste A
Madisonville, LA 70447-9490

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

3 other providers at this address

Coastal Infusion Services LLCMulti-Specialty Clinic/Center Covington, LA NPI 1750937744
Oh Project- NorthshoreGeneral Practice Physician Covington, LA NPI 1700354453
Ivy Mendheim Fauntleroy, RD, LDNRegistered Dietitian Covington, LA NPI 1528979713

Other multi-specialty clinic/center providers in Covington

See all in Covington →

NPI record

NPI: 1962968404
Entity type: Organization (Type 2)
Issued: Feb 20, 2019
Last updated: Dec 3, 2019
Status: Active
Subpart: Yes of Coastal Pharmacy Services, LLC

Other names

<unavail>
Coastal Infusion Services · doing business as
Coastal Pharmacy Services · doing business as
Coastal Pharmacy Services · doing business as

Authorized official

Dr. Hunter Farrar, PharmD
Owner
(985) 792-9001

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962968404

Coastal Pharmacy Services LLC's National Provider Identifier is 1962968404, issued on Feb 20, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Covington, LA. The record was last updated on Dec 3, 2019.