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COLEMAN BUTLER FT SMITH LLC NPI 1629580147


NPI Information

NPI: 1629580147
Provider Name: COLEMAN BUTLER FT SMITH, LLC

Doing Business As: COLEMAN PHARMACY & MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

CLIA Number: 04D2190812

Address:
3610 GRAND AVE
FORT SMITH, AR
ZIP 72904
Phone: (479) 783-5171
Get Directions

COLEMAN BUTLER FT SMITH, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Fort Smith, AR. COLEMAN BUTLER FT SMITH, LLC NPI is 1629580147. The provider is registered as an organization entity type.
The provider Is Doing Business As Coleman Pharmacy & Medical.

The provider's business location address is:

3610 GRAND AVE
FORT SMITH, AR
ZIP 72904-842
Phone: (479) 783-5171
Fax: (479) 783-0433

The provider's authorized official is Michael Butler .
The authorized official title is Owner and has the following contact phone number (479) 783-5171.

The CLIA number assigned to this NPI record is 04D2190812 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2017 and was last updated on 10/25/2017.


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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionMG01760ARKANSASNo
2335E00000XProsthetic/Orthotic SupplierMG01760ARKANSASNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesMG01760ARKANSASYes

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: 11/14/2023

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