Individual
JACOB COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8600 HIGHWAY 71 S # SS, FORT SMITH, AR 72908-8042
(479) 289-6898
Mailing address
905 HEMBREE AVE, SPRINGDALE, AR 72764-6976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15393
AR
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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