# COLER DRUG MCCONNELSVILLE LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHRIVERS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427160977
- **Authorized official:** JOHN E COLER (OWNER/MANAGER)
- **Authorized official phone:** (740) 452-7685

## Contact information

- **Practice address:** 105 N KENNEBEC AVE, MCCONNELSVILLE, OH 43756-1254
- **Practice address phone:** (740) 962-2552
- **Practice address fax:** (740) 962-2730
- **Mailing address:** PO BOX 3506, ZANESVILLE, OH 43702-3506
- **Mailing address phone:** (740) 452-7685
- **Mailing address fax:** (740) 452-7655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 021736450 | OH | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/01/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2075068 | PK | — |
| 05 | — | 2774074 | — | OH |