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Thomas James Robert Coleman

Pharmacist in Sheboygan, WI. Individual provider (NPI-1).

NPI number1992486526
StatusActive
Last updated in NPPESJul 27, 2023

Details

NPI
1992486526
Entity type
Individual (NPI-1)
Name
Thomas James Robert Coleman
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 27, 2023
Certification date
Jul 26, 2023
Last updated
Jul 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist22250-40WIYes

Practice location

4433 Vanguard Dr
Sheboygan, WI 53083-6067

Phone 920-459-9470

Mailing address

4433 Vanguard Dr
Sheboygan, WI 53083-6067

Phone 920-459-9470

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