Organization
COLER DRUG NELSONVILLE
Active
Other names
Shrivers Pharmacy #4
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E COLER RPH. (MANAGER/OWNER)
(740) 452-7685
Entity
Organization
Contact information
Practice address
40 WATKINS ST, NELSONVILLE, OH 45764
(740) 753-2484
(740) 753-4185
Mailing address
40 WATKINS ST., NELSONVILLE, OH 45764-1452
(740) 753-2484
(740) 753-4185
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02-1924250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2886113
—
OH
Enumeration date
09/27/2006
Last updated
04/02/2020
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