| Coastal Infusion Services Llc | |
|
190 Greenbrier Blvd Ste 105 Covington LA 70433-7237 | |
| (833) 285-5500 | |
| Not Available |
| Full Name | Coastal Infusion Services Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 190 Greenbrier Blvd Ste 105, Covington, Louisiana |
| Authorized Official Name and Position | Hunter Farrar (MANAGER) |
| Authorized Official Contact | 9859004857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Infusion Services Llc 190 Greenbrier Blvd Ste 105 Covington LA 70433-7237 Ph: (833) 285-5500 | Coastal Infusion Services Llc 190 Greenbrier Blvd Ste 105 Covington LA 70433-7237 Ph: (833) 285-5500 |
| NPI Number | 1750937744 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 09/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750937744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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