IndividualActive
Brooke Coffelt, PHARMD
NPI 1720445653 · Pharmacotherapy Pharmacist · Vicksburg, MS
Provider details
- NPI number
- 1720445653
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- E-010519 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1807 Edna Dr
Vicksburg, MS 39180-3724
Phone: (662) 415-0576
Approximate (ZIP-level) locationGet directions
Mailing address
1807 Edna Dr
Vicksburg, MS 39180-3724
Registry dates
- Enumerated
- 2016-01-22
- Last updated
- 2016-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.