Provider Demographics
NPI:1538473996
Name:COLEMAN, ROSIE DARLENE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ROSIE
Middle Name:DARLENE
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 1:1793 INDIAN RDG
Mailing Address - Street 2:
Mailing Address - City:OAK LEAF
Mailing Address - State:TX
Mailing Address - Zip Code:75154-5872
Mailing Address - Country:US
Mailing Address - Phone:972-576-2996
Mailing Address - Fax:
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:972-824-8876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37964183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist