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COFFMAN DRUG STORE INC NPI 1134146848


NPI Information

NPI: 1134146848
Provider Name: COFFMAN DRUG STORE INC

Doing Business As: COFFMAN DRUG STORE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
303 N STATE ST
LITCHFIELD, IL
ZIP 62056
Phone: (217) 532-5324
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COFFMAN DRUG STORE INC is a community/retail pharmacy pharmacy in Litchfield, IL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COFFMAN DRUG STORE INC NPI is 1134146848. The provider is registered as an organization entity type.
The provider Is Doing Business As Coffman Drug Store.

The provider's business location address is:

303 N STATE ST
LITCHFIELD, IL
ZIP 62056-002
Phone: (217) 532-5324

The provider's authorized official is Geoffrey Brauer .
The authorized official title is President and has the following contact phone number (217) 324-3255.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy054008935ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10736210001MEDICARE NSC
21405655OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
3=========002MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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