institution
Coastal Medical, Inc.
Non-Pharmacy Dispensing Site in Providence, Rhode Island
NPI 1073655379

Coastal Medical, Inc. is a Non-Pharmacy Dispensing Site based in San Diego, RI. Coastal Medical, Inc. practices in Providence, RI. The NPI Number for Coastal Medical, Inc. is 1073655379 and holds a License No. MD13369 (Rhode Island).

The current practice location address for Coastal Medical, Inc. is 400 Reservoir Ave, Providence, RI and can be reached out via phone at 401-781-2400.

Location: 400 Reservoir Ave, Providence, RI, 92121-1705
institution
Provider Profile Details
NPI Number
1073655379
Provider Name
Coastal Medical, Inc.
Credential
Provider Entity Type
Organization
Address
400 Reservoir Ave, Providence, RI, 92121-1705
Phone Number
401-781-2400
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
400 Reservoir Ave
City
State
Zip
02907-3565
Phone Number
401-781-2400
Fax Number
person
Provider Business Mailing Address Details
Address
400 Reservoir Ave
City
State
Zip
02907-3565
Phone Number
401-781-2400
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
MD13369 (Rhode Island)
Definition
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.)
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