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Individual

MR. W. JOHN COLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.PH.T.

Contact information

Practice address
1580 W ANTELOPE DR STE 130A, LAYTON, UT 84041-1173
(801) 525-5277
(801) 525-5279
Mailing address
5349 S 4100 W, ROY, UT 84067-7727
(801) 985-1613
(801) 525-5279

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5040990-1717
UT

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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