Individual
COLE JEROUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-6787
Mailing address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-6787
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
44627
TX
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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