Individual
MICHAEL JASON COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 SOUTH FIRST AVE, COOS BAY, OR 97420
(541) 269-4033
Mailing address
1020 S FIRST AVE, COOS BAY, OR 97420-1234
(541) 269-4033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009997
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9997
OR
Other
Enumeration date
06/21/2013
Last updated
04/25/2017
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