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NPI Code Detail

MEDICARE: MRS. ROSIE DARLENE COLEMAN PHARMD

MEDICARE: MRS. ROSIE DARLENE COLEMAN PHARMD
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
1183500000XPharmacist37964TX

General Provider Information

NPI Number : 1538473996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSIE DARLENE COLEMAN PHARMD
Provider Business Mailing Address
First Line : 1793 INDIAN RDG
Second Line :
City : OAK LEAF
State : TX
Zip : 75154-5872
Country : US
Telephone Number : 972-576-2996
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line : PHARMACY DEPARTMENT
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 972-824-8876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2010
Last Update Date : 07/28/2010

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