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Individual

MR. EDWARD R COLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2115 BEATTIES FORD RD, CHARLOTTE, NC 28216-4307
(704) 394-5026
(704) 393-9135
Mailing address
2309 COMMONWEALTH AVE., CHARLOTTE, NC 28205-5129
(704) 344-1187

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10056
NC

Other

Enumeration date
06/23/2011
Last updated
06/23/2011
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