| NPI | 1629580147 |
|---|---|
| Doing Business As | COLEMAN PHARMACY & MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BUTLER Owner 479-783-5171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR MG01760) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AR MG01760) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: AR MG01760) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2022-07-21 |