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NPI Code Detail

MEDICARE: COLER DRUG MCCONNELSVILLE LTD

MEDICARE: COLER DRUG MCCONNELSVILLE LTD
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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy021736450OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22075068OTHERPK

General Provider Information

NPI Number : 1427160977
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLER DRUG MCCONNELSVILLE LTD
Provider Business Mailing Address
First Line : PO BOX 3506
Second Line :
City : ZANESVILLE
State : OH
Zip : 43702-3506
Country : US
Telephone Number : 740-452-7685
Fax Number : 740-452-7655
Provider Business Practice Location Address
First Line : 105 N KENNEBEC AVE
Second Line :
City : MCCONNELSVILLE
State : OH
Zip : 43756-1254
Country : US
Telephone Number : 740-962-2552
Fax Number : 740-962-2730
Authorized Official
Title or Position : OWNER/MANAGER
Name : JOHN E COLER
Credential :
Telephone Number : 740-452-7685
Provider Enumeration Date : 08/31/2006
Last Update Date : 04/01/2020

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