Individual
CODY J COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCGP
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9137
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213002
VA
183500000X
Pharmacist
24825
NC
Other
Enumeration date
04/27/2015
Last updated
09/21/2019
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