Provider Demographics
NPI:1184332546
Name:COLEMAN, FURONIA SCOTT (RPH)
Entity type:Individual
Prefix:MS
First Name:FURONIA
Middle Name:SCOTT
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:FURONIA
Other - Middle Name:JOSETTE
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:12880 AIRLINE HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5105
Mailing Address - Country:US
Mailing Address - Phone:225-751-3611
Mailing Address - Fax:
Practice Address - Street 1:12880 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-5105
Practice Address - Country:US
Practice Address - Phone:225-751-3611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist