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Organization
COLER DRUG NEW LEXINGTON LTD
Active
Organization
COLER DRUG NEW LEXINGTON LTD
Active
Other names
Shrivers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COLER (OWNER)
(740) 452-7685
Entity
Organization
Contact information
Practice address
120 S BUCKEYE ST, CROOKSVILLE, OH 43731-1015
(740) 982-3081
(740) 982-3301
Mailing address
PO BOX 3506, ZANESVILLE, OH 43702-3506
(740) 452-7685
(740) 452-7655
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
022482400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119210
—
OH
01
—
2149663
PK
—
Enumeration date
09/02/2006
Last updated
04/02/2020
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