Provider Demographics
NPI:1346063526
Name:COLEMAN, JOI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOI
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 TAPESTRY LN
Mailing Address - Street 2:APT 6303
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-1856
Mailing Address - Country:US
Mailing Address - Phone:225-828-7642
Mailing Address - Fax:
Practice Address - Street 1:3156 LAWSON ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39213-5754
Practice Address - Country:US
Practice Address - Phone:601-713-3457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-101723183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist