Individual
JOHN COLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
4 CREEK PARKWAY, PENTEC HEALTH, BOOTHWYN, PA 19061
(610) 494-8700
Mailing address
2201 NICHOLBY DR, WILMINGTON, DE 19808-4232
(484) 480-2214
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5601070189247
DE
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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