| Doctor Name: | MICHAEL EDWARD COAST |
| NPI Number: | 1790835833 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPH, CGP |
| License Number: | 1-12281 |
| Business Practice Address: | 100 West Ave A Suite B Cimarron, KS - 678350191 |
| Business Phone Number: | 6208550095 |
| Business Fax Number: | 6208553411 |
| Mailing Address: | 307 West Canal St, Po Box 191 CIMARRON |
| State: | KS |
| Postal Code: | 678350191 |
| Phone Number: | 6208553693 |
| Fax Number: | 6208553411 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 1-12281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |