Provider Demographics
NPI:1083248272
Name:THE PHARMARY RX LLC
Entity Type:Organization
Organization Name:THE PHARMARY RX LLC
Other - Org Name:COAST COMPOUNDING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DIETER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINMETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-433-6233
Mailing Address - Street 1:1838 S COAST HWY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-5322
Mailing Address - Country:US
Mailing Address - Phone:760-433-6233
Mailing Address - Fax:760-433-6234
Practice Address - Street 1:1838 S COAST HWY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-5322
Practice Address - Country:US
Practice Address - Phone:760-433-6233
Practice Address - Fax:760-433-6234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy