Healthcare Provider Details

I. General information

NPI: 1225254121
Provider Name (Legal Business Name): COLER DRUG MCARTHUR LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 06/14/2022
Certification Date: 06/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 N MARKET ST
MC ARTHUR OH
45651-1131
US

IV. Provider business mailing address

PO BOX 3506
ZANESVILLE OH
43702-3506
US

V. Phone/Fax

Practice location:
  • Phone: 740-596-2566
  • Fax: 740-596-2155
Mailing address:
  • Phone: 740-452-7685
  • Fax: 740-452-7655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number02260325003
License Number StateOH

VIII. Authorized Official

Name: JOHN COLER
Title or Position: OWNER
Credential:
Phone: 740-452-7685