Medical Center Pharmacy

LBN: Coastal Medical Services Llc
Medical Center Pharmacy is an health care organization with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Coastal Medical Services Llc can be contacted via phone (912) 350-6337, or through Dixon, Ferrell via phone (912) 756-3331.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Phone: (912) 350-6337
Fax: (912) 350-7457
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Ferrell BS PHARMACY
Phone: (912) 756-3331

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE000346 Georgia

Profile Details

NPI number 1992791974
LBN Legal business name Coastal Medical Services Llc
DBA Doing business as Medical Center Pharmacy
Authorized official Dixon, Ferrell BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Apr 25th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992791974 NPPES
Other 2014514 PK
MEDICAID 00943709A PK

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