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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