Provider Demographics
NPI:1407253891
Name:A V P PHARMA INC
Entity Type:Organization
Organization Name:A V P PHARMA INC
Other - Org Name:COASTAL DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:410-629-0089
Mailing Address - Street 1:11005 MANKLIN MEADOWS LN STE 1
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-9303
Mailing Address - Country:US
Mailing Address - Phone:410-629-0089
Mailing Address - Fax:410-629-0112
Practice Address - Street 1:11005 MANKLIN MEADOWS LN STE 1
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-9303
Practice Address - Country:US
Practice Address - Phone:410-629-0089
Practice Address - Fax:410-629-0112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy