Organization
COLOMA PHARMACY INC
Active
Other names
COLOMA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ASHABEN PATEL (OWNER)
(269) 468-6207
Entity
Organization
Contact information
Practice address
6577 PAW PAW AVE, COLOMA, MI 49038-8805
(269) 468-6207
(269) 468-6707
Mailing address
6577 PAW PAW AVE, COLOMA, MI 49038-8805
(269) 468-6207
(269) 468-6707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
333600000X
Pharmacy
5301008639
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301008639
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619173556
—
MI
Enumeration date
06/26/2007
Last updated
03/03/2021
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