Individual
MR. JOHN MICHAEL COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2709 CHURCH ST STE A, CONWAY, SC 29526-4440
(843) 365-0301
(843) 375-0318
Mailing address
342 MIKITA DR, SURFSIDE BEACH, SC 29575-5514
(814) 673-4208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
42811
SC
183500000X
Pharmacist
Primary
RP040017L
PA
Other
Enumeration date
01/27/2020
Last updated
03/30/2024
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