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NPI Code Detail

MEDICARE: MRS. ASHLEY COLEMAN PHARM D.

MEDICARE: MRS. ASHLEY COLEMAN PHARM D.
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
1183500000XPharmacist18898NC

General Provider Information

NPI Number : 1417202961
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY COLEMAN PHARM D.
Provider Business Mailing Address
First Line : 4 LEA ANN LN
Second Line :
City : DUNN
State : NC
Zip : 28334-7201
Country : US
Telephone Number : 910-892-8326
Fax Number :
Provider Business Practice Location Address
First Line : 2203 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-1723
Country : US
Telephone Number : 919-731-7105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2012
Last Update Date : 07/25/2012

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Directions to “ MRS. ASHLEY COLEMAN PHARM D.” Practice Location

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