Provider Demographics
NPI:1265967335
Name:COLEMAN, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 LONG POINT RD UNIT H
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8282
Mailing Address - Country:US
Mailing Address - Phone:843-856-4902
Mailing Address - Fax:843-856-4875
Practice Address - Street 1:620 LONG POINT RD UNIT H
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-8282
Practice Address - Country:US
Practice Address - Phone:843-856-4902
Practice Address - Fax:843-856-4875
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041660L183500000X
SC60403183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist