COASTAL PHARMACY LLC NPI 1811140841

NPI Information

  • NPI: 1811140841
  • Provider Name: COASTAL PHARMACY LLC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Doing Business As: COASTAL PHARMACY & WELLNESS
  • Address: 29 MARGINAL WAY
    SUITE 4
    PORTLAND, ME
    ZIP 04101
  • Phone: (207) 899-0886

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NPI Details

COASTAL PHARMACY LLC is a compounding pharmacy pharmacy in Portland, ME. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. COASTAL PHARMACY LLC NPI is 1811140841. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Pharmacy & Wellness.

The provider's business location address is:

29 MARGINAL WAY
SUITE 4
PORTLAND, ME
ZIP 04101-914
Phone: (207) 899-0886
Fax: (207) 899-0826

The provider's authorized official is Cassi Q Brooks .
The authorized official title is Principal and has the following contact phone number (207) 899-0886.

The enumeration date for this NPI number is 11/4/2008 and was last updated on 5/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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