Healthcare Provider Details

I. General information

NPI: 1962643239
Provider Name (Legal Business Name): HOPE B COLEMAN PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2009
Last Update Date: 03/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 HOSPITAL DR
CHEVERLY MD
20785-1189
US

IV. Provider business mailing address

316 TALBOTT AVE STE A
LAUREL MD
20707-4334
US

V. Phone/Fax

Practice location:
  • Phone: 301-618-3244
  • Fax: 301-618-3971
Mailing address:
  • Phone: 301-617-0555
  • Fax: 301-617-0228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number08814
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPH3255
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: