Individual
DEREK COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2828
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022843A
IN
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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