Provider Demographics
NPI:1437783495
Name:COASTAL CARE PHARMACY - ALABASTER
Entity Type:Organization
Organization Name:COASTAL CARE PHARMACY - ALABASTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SHIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-246-2491
Mailing Address - Street 1:7895 HIGHWAY 119 STE 6
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-7554
Mailing Address - Country:US
Mailing Address - Phone:205-621-8407
Mailing Address - Fax:866-257-3482
Practice Address - Street 1:7895 HIGHWAY 119 STE 6
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-7554
Practice Address - Country:US
Practice Address - Phone:205-621-8407
Practice Address - Fax:866-257-3482
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COASTAL CARE PHARMACY - ALABASTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy