Individual
COLLEEN MARGURIETTE COFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12749 VILLAGE LOOP RD, SWISSHOME, OR 97480-9612
(541) 521-0565
Mailing address
81511 DAVISSON RD, CRESWELL, OR 97426-9865
(541) 521-0565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018641
OR
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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