Individual
DR. CLYDE COLEMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 257-2364
(859) 323-0702
Mailing address
1000 S LIMESTONE RM HC 209, LEXINGTON, KY 40506-0007
(859) 323-3997
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
014084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/04/2022
Last updated
02/15/2023
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