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Organization
COLDAR
Active
Organization
COLDAR
Active
Other names
Shriverspharmacy #10
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COLER (OWNER/MANAGER/AO)
(740) 452-7685
Entity
Organization
Contact information
Practice address
501 W MAIN ST, CARROLLTON, OH 44615-1029
(740) 452-7685
(740) 452-7655
Mailing address
PO BOX 3506, ZANESVILLE, OH 43702-3506
(740) 452-7685
(740) 452-7665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
022865450-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176707
PK
—
Enumeration date
03/30/2018
Last updated
07/27/2018
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