# COLER DRUG NELSONVILLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shrivers Pharmacy \#4
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790876985
- **Authorized official:** MR. JOHN E COLER RPH. (MANAGER/OWNER)
- **Authorized official phone:** (740) 452-7685

## Contact information

- **Practice address:** 40 WATKINS ST, NELSONVILLE, OH 45764
- **Practice address phone:** (740) 753-2484
- **Practice address fax:** (740) 753-4185
- **Mailing address:** 40 WATKINS ST., NELSONVILLE, OH 45764-1452
- **Mailing address phone:** (740) 753-2484
- **Mailing address fax:** (740) 753-4185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 02-1924250 | OH | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 04/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2886113 | — | OH |
