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Organization
COLEMAN BUTLER FT SMITH, LLC
Active
Organization
COLEMAN BUTLER FT SMITH, LLC
Active
Parent organization
COLEMAN BUTLER FT SMITH, LLC
Other names
Coleman Pharmacy & Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLEMAN BUTLER FT SMITH, LLC
Authorized official
MICHAEL BUTLER PHARMD (OWNER)
(479) 783-5171
Entity
Organization
Contact information
Practice address
3610 GRAND AVE, FORT SMITH, AR 72904-6842
(479) 783-5171
(479) 783-0433
Mailing address
3610 GRAND AVE, FORT SMITH, AR 72904-6842
(479) 783-5171
(479) 783-0433
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
MG01760
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG01760
AR
335E00000X
Prosthetic/Orthotic Supplier
MG01760
AR
Other
Enumeration date
10/25/2017
Last updated
07/21/2022
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