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Organization

COLER DRUG MCCONNELSVILLE LTD

Active
Other names
SHRIVERS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN E COLER (OWNER/MANAGER)
(740) 452-7685
Entity
Organization

Contact information

Practice address
105 N KENNEBEC AVE, MCCONNELSVILLE, OH 43756-1254
(740) 962-2552
(740) 962-2730
Mailing address
PO BOX 3506, ZANESVILLE, OH 43702-3506
(740) 452-7685
(740) 452-7655

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
021736450
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2075068
PK
05
2774074
OH
Enumeration date
08/31/2006
Last updated
04/01/2020
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