Coastal Medical - Elmhurst

Non-pharmacy Dispensing Site


  
  1075 Smith St, 2nd Floor, Providence
Rhode Island, 02908-2700

 401-421-4400   
Coastal Medical - Elmhurst is a Non-pharmacy Dispensing Site in Providence, Rhode Island. This pharmacy is owned and operated by Coastal Medical, Inc.. This organization is also known as sub part of Medvantx, Inc. It is located at 1075 Smith St, 2nd Floor, Providence and it's customer support contact number is 401-421-4400. The authorized person of Coastal Medical - Elmhurst is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Coastal Medical - Elmhurst is MD08852 for Non-pharmacy Dispensing Site in Rhode Island.
Coastal Medical - Elmhurst is 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.)


Pharmacy Details:
Coastal Medical - Elmhurst type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Coastal Medical - Elmhurst
Type: Non-pharmacy Dispensing Site
Location:1075 Smith St, 2nd Floor, Providence,
Rhode Island, 02908-2700
Phone:401-421-4400
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Kenny Heine
Position: Vp Of Operations
Contact Number: 858-625-2990
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1114124864
Parent Organization: Medvantx, Inc
NPI Enumeration Date: 27 Jun, 2007
NPI Last Update On: 24 Oct, 2013

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coastal Medical - Elmhurst are as mentioned below.
SpecializationLicense NumberStateStatus
Non-pharmacy Dispensing Site MD08852Rhode IslandPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 5626 Oberlin Dr, Suite 110
San Diego, California
Zip: 92121-1705
Phone Number: 858-625-2990
Fax Number: --
Patients can reach Coastal Medical - Elmhurst at 1075 Smith St, 2nd Floor, Providence, Rhode Island or can call on customer care at 401-421-4400.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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