Provider Demographics
NPI:1184193542
Name:COLEMAN, HELEN HOFFMAN (RPH)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:HOFFMAN
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BERRYHILL RD STE 109
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-6433
Mailing Address - Country:US
Mailing Address - Phone:803-731-0203
Mailing Address - Fax:
Practice Address - Street 1:16 BERRYHILL ROAD
Practice Address - Street 2:STE 109
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210
Practice Address - Country:US
Practice Address - Phone:803-731-0203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033003L183500000X
SC36474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARPI000727OtherAUTHORIZATION TO ADMINISTER INJECTIBLES
PARP033003LOtherREGISTERED PHARMACIST
SC36474OtherREGISTERED PHARMACIST