Individual
MARY ANN COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
2511 NEUDORF RD STE F, CLEMMONS, NC 27012-8922
(336) 703-8738
Mailing address
2511 NEUDORF RD STE F, CLEMMONS, NC 27012-8922
(336) 703-8738
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
18176
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
18176
NC
Other
Enumeration date
07/17/2017
Last updated
03/17/2018
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