Coleman Pharmacy
LBN: Coleman Butler Ft Smith Llc
Coleman Pharmacy is an health care organization with primary practice located at 3610 Grand Ave , Fort Smith AR 72904-6842. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Coleman Butler Ft Smith Llc can be contacted via phone (479) 783-5171, or through Butler, Michael David via phone (479) 783-5171.
Contact Information
Primary practice address
3610 Grand Ave
Fort Smith AR 72904-6842
Phone: (479) 783-5171
Fax: (479) 783-0433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR10908 | Arkansas |
Profile Details
| NPI number | 1407844855 |
|---|---|
| LBN Legal business name | Coleman Butler Ft Smith Llc |
| DBA Doing business as | Coleman Pharmacy |
| Authorized official | Butler, Michael David PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Mar 14th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407844855 | NPPES |
| Arkansas | MEDICAID | 100228407 | |
| Arkansas | MEDICAID | 100239790A | |
| Arkansas | Other | 1994117 |
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