Individual
DR. CODY S COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
471 MAIN ST, MADISON, WV 25130-1223
(304) 369-5170
Mailing address
2700 MOUNTAINEER BLVD, SOUTH CHARLESTON, WV 25309-9442
(304) 746-1725
(304) 746-1727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007683
WV
Other
Enumeration date
08/29/2012
Last updated
04/12/2019
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