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NPI Code Detail

MEDICARE: DR. APRIL MISCHILLE COLEMAN PHARM.D.

MEDICARE: DR. APRIL MISCHILLE COLEMAN PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist10727TN
21835G0303XGeriatric Pharmacist10727TN
31835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist10727TN

General Provider Information

NPI Number : 1023320835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. APRIL MISCHILLE COLEMAN PHARM.D.
Provider Business Mailing Address
First Line : 60 HICKORY LN
Second Line :
City : LEXINGTON
State : TN
Zip : 38351-1831
Country : US
Telephone Number : 731-967-0195
Fax Number :
Provider Business Practice Location Address
First Line : 2615 LAKE RD
Second Line :
City : DYERSBURG
State : TN
Zip : 38024-1605
Country : US
Telephone Number : 731-288-5065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2010
Last Update Date : 07/09/2010

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