Provider Demographics
NPI:1922205855
Name:COLEMAN, RHONDA B (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:B
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:B
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:5585 HWY 96
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775
Mailing Address - Country:US
Mailing Address - Phone:225-784-2304
Mailing Address - Fax:225-634-0521
Practice Address - Street 1:4052 HWY 951
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:LA
Practice Address - Zip Code:70748
Practice Address - Country:US
Practice Address - Phone:225-634-0370
Practice Address - Fax:225-634-0521
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15689183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist