Coffman Drug Store INC
NPI #1134146848 in Litchfield, Illinois
Provider Information
- NPI Number
- 1134146848
- Entity Type
- Organization
- Organization Name
- Coffman Drug Store INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Aug 10, 2011
Practice Location
- Address
- 303 N STATE ST
- City
- Litchfield
- State
- Illinois
- ZIP Code
- 62056-2002
- Phone
- (217) 532-5324
Authorized Official
- Name
- GEOFFREY BRAUER
- Title
- PRESIDENT
- Phone
- (217) 324-3255
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