Individual
BRYAN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
926 E BROADWAY RD, TEMPE, AZ 85282-1502
(480) 281-1016
Mailing address
1075 N MILLER RD APT 213, SCOTTSDALE, AZ 85257-4615
(916) 365-5968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024666
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S024666
ARIZONA BOARD OF PHARMACY
AZ
Enumeration date
07/09/2020
Last updated
11/27/2023
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