Organization
COFFMAN DRUG STORE INC
Active
Other names
COFFMAN DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY BRAUER (PRESIDENT)
(217) 324-3255
Entity
Organization
Contact information
Practice address
303 N STATE ST, LITCHFIELD, IL 62056-2002
(217) 532-5324
Mailing address
PO BOX 218, LITCHFIELD, IL 62056-0218
(217) 556-6396
(217) 342-3242
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054008935
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1405655
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/17/2006
Last updated
08/10/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us