Healthcare Provider Details

I. General information

NPI: 1013242940
Provider Name (Legal Business Name): JAMES MELVIN COLEMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2009
Last Update Date: 10/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 NW MAYNARD RD
CARY NC
27513
US

IV. Provider business mailing address

2323 NW MAYNARD RD
CARY NC
27513-8826
US

V. Phone/Fax

Practice location:
  • Phone: 919-462-3432
  • Fax: 919-462-8103
Mailing address:
  • Phone: 919-462-3432
  • Fax: 919-462-8103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8978
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: