NPI | 1730940487 |
---|---|
Doing Business As | COLEMAN PHARMACY LONG TERM CARE |
Entity Type | Organization |
Authorized Contact | PHILLIP JUSTIN BOYD Co Owner, Pharmacist In Charge 479-262-2156 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-02-26 |