Individual
ROBERT L COFFMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2709 CHURCH ST STE A, CONWAY, SC 29526-4440
(843) 365-0301
Mailing address
2647 OPHELIA WAY, MYRTLE BEACH, SC 29577-6788
(843) 293-0577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41934
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41934
REGISTERED PHARMACIST LICENCE
SC
01
—
RP037337L
REGISTERED PHARMACIST LICENCE
PA
Enumeration date
06/17/2019
Last updated
06/17/2019
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