Organization
COLEMAN BUTLER FT SMITH LLC
Active
Organization
COLEMAN BUTLER FT SMITH LLC
Active
Other names
Coleman Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID BUTLER PHARMD (PRESIDENT)
(479) 783-5171
Entity
Organization
Contact information
Practice address
3610 GRAND AVE, FORT SMITH, AR 72904-6842
(479) 783-5171
(479) 783-0433
Mailing address
3610 GRAND AVE, FORT SMITH, AR 72904-6842
(479) 783-5171
(479) 783-0433
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR10908
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228407
—
AR
05
—
100239790A
—
OK
01
—
1994117
PK
—
Enumeration date
10/10/2005
Last updated
03/14/2019
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