Healthcare Provider Details

I. General information

NPI: 1023320835
Provider Name (Legal Business Name): APRIL MISCHILLE COLEMAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2010
Last Update Date: 07/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 LAKE RD
DYERSBURG TN
38024-1605
US

IV. Provider business mailing address

60 HICKORY LN
LEXINGTON TN
38351-1831
US

V. Phone/Fax

Practice location:
  • Phone: 731-288-5065
  • Fax:
Mailing address:
  • Phone: 731-967-0195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10727
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number10727
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number10727
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: