Whalio Doctors

NPI 1528265212

Coastal Medical, INC.

Organisation Non-Pharmacy Dispensing Site East Providence, RI

Practice location

Address
450 Veterans Memorial Pkwy 404, East Providence, RI 02914-5300
Phone
(401) 435-3400
Mailing address
5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name
Kenny Heine
Title
Vp of Operations
Phone
(858) 625-2990

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence MD12072 (RI)

Registry record

NPI
1528265212
Entity type
Organization
NPI issued
27 Jun 2007
Record last updated
26 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.