Individual
DR. BROOKE F. COFFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1807 EDNA DR, VICKSBURG, MS 39180-3724
(662) 415-0576
Mailing address
1807 EDNA DR, VICKSBURG, MS 39180-3724
(662) 415-0576
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
E-010519
MS
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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