Individual
JOHN RANDALL COLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1030 JEFFERSON AVE, PHARMACY SERVICE (119), MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7306
Mailing address
3402 JOSLYN ST, MEMPHIS, TN 38128-4808
(901) 388-0772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3398
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3398
PHARMACIST
TN
Enumeration date
08/25/2006
Last updated
07/08/2007
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