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Coastal Medical, Inc. — NPI 1184767022, Cranston, RI | NPI Central

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NPI 1184767022

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Coastal Medical, Inc.

NPI 1184767022 · Non-Pharmacy Dispensing Site · Cranston, RI

Provider details

NPI number: 1184767022
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx,inc
Organization subpart: Yes
Authorized official: Kenny Heine, Director of Operations(858) 625-2990
License: MD06986 (RI)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense MD06986 (RI)
Suppliers

Practice location

761 Park Ave

Cranston, RI 02910-2137

Phone: (401) 467-3460

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Registry dates

Enumerated: 2007-02-14
Last updated: 2012-10-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.