Carol Tamara Coffman, PHARM.D.
Individual provider Active NPI Pharmacist · Traverse City, MI
NPI 1740477157 · NPPES record last updated Sep 29, 2007
Key facts
- NPI
- 1740477157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302028553 (MI)
- Practice address
- 1105 6TH St
Traverse City, MI 49684-2345 - Phone
- (231) 935-6581
- NPI assigned
- Sep 29, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302028553 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302028553 | MI | Yes |
Addresses
Primary practice location
1105 6TH St
Traverse City, MI 49684-2345
Mailing address
3344 Hardwood Dr
Traverse City, MI 49686-3928
Phone (231) 938-2587
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.