NPI | 1407844855 |
---|---|
Doing Business As | COLEMAN PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID BUTLER President 479-783-5171 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR10908) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-10-10 |
Last Update Date | 2019-03-14 |