Healthcare Provider Details

I. General information

NPI: 1356401582
Provider Name (Legal Business Name): GULF COAST PHARMACEUTICALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26801 RAILROAD AVE
LOXLEY AL
36551-7519
US

IV. Provider business mailing address

PO BOX 190
LOXLEY AL
36551-0190
US

V. Phone/Fax

Practice location:
  • Phone: 877-625-0354
  • Fax: 877-625-2904
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number112880
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES ADKINSON
Title or Position: OWNER
Credential: PHARMD
Phone: 877-625-0354