Provider Demographics
NPI:1932837002
Name:COLEMAN, MIKAHLAH BRIGET (PHARMD)
Entity Type:Individual
Prefix:
First Name:MIKAHLAH
Middle Name:BRIGET
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 MOONGLOW DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-7006
Mailing Address - Country:US
Mailing Address - Phone:205-253-4201
Mailing Address - Fax:
Practice Address - Street 1:604 BESSEMER SUPER HWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35228-2117
Practice Address - Country:US
Practice Address - Phone:205-925-0278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist