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Individual

DR. CHARMAN COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD, CGP

Contact information

Practice address
1225 S GEAR AVE, SUITE 154, WEST BURLINGTON, IA 52655-1691
(319) 768-3960
(319) 768-3964
Mailing address
1225 S GEAR AVE, SUITE 154, WEST BURLINGTON, IA 52655-1691
(319) 768-3960
(319) 768-3964

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18535
IA
1835G0303X
Geriatric Pharmacist
18535
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051-039925
ILLINOIS PHARMACIST LICENSE
IL
01
18535
IOWA PHARMACIST LICENSE
IA
Enumeration date
06/11/2014
Last updated
06/11/2014
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