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Individual

JESSICA E COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2505 MOUNTAIN CITY HWY, ELKO, NV 89801-4496
(775) 738-2779
(775) 738-8624
Mailing address
780 GROUSE DR, SPRING CREEK, NV 89815-7018
(901) 569-0252
(775) 738-8624

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
19151
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19151
STATE LICENSURE
NV
Enumeration date
10/11/2017
Last updated
06/16/2018
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