Organization
COLER DRUG NEW LEXINGTON LTD
Active
Other names
Shrivers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COLER (OWNER)
(740) 452-7685
Entity
Organization
Contact information
Practice address
120 S BUCKEYE ST, CROOKSVILLE, OH 43731-1015
(740) 982-3081
(740) 982-3301
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
022482400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119210
—
OH
01
—
2149663
PK
—
Enumeration date
09/02/2006
Last updated
04/02/2020
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