Provider Demographics
NPI:1306942438
Name:COLEMAN PHARMACY OF ALMA INC
Entity type:Organization
Organization Name:COLEMAN PHARMACY OF ALMA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:L
Authorized Official - Last Name:WINBORN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:479-632-3049
Mailing Address - Street 1:PO BOX 168
Mailing Address - Street 2:18 HWY 162 SO
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-0168
Mailing Address - Country:US
Mailing Address - Phone:479-632-2248
Mailing Address - Fax:479-632-2386
Practice Address - Street 1:18 HWY 162 SO
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:AR
Practice Address - Zip Code:72921-0168
Practice Address - Country:US
Practice Address - Phone:479-632-2248
Practice Address - Fax:479-632-2386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR01466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty