Coleman Butler Ft Smith, LLC

Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Fort Smith, AR. Organization (NPI-2).

NPI number1629580147

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1629580147
Entity type: Organization (NPI-2)
Legal business name: Coleman Butler Ft Smith, LLC
Organization subpart: Yes
Enumeration date: Oct 25, 2017
Last updated: Jul 21, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332BX2000X	Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	MG01760	AR	Yes
332BP3500X	Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	MG01760	AR
335E00000X	Prosthetic/Orthotic Supplier	MG01760	AR

Other names

Coleman Pharmacy & Medical (Doing Business As)

Practice location

3610 Grand Ave
Fort Smith, AR 72904-6842

Phone 479-783-5171 · Fax 479-783-0433

Mailing address

3610 Grand Ave
Fort Smith, AR 72904-6842

Phone 479-783-5171 · Fax 479-783-0433

Authorized official

Michael Butler
Owner
4797835171

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