Individual
DR. COLE WAINE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
2001 S RANGE LINE RD, JOPLIN, MO 64804-3240
(417) 626-8553
(417) 626-8776
Mailing address
905 E WASHINGTON ST, ARMA, KS 66712-4003
(620) 404-9316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-106191
KS
183500000X
Pharmacist
Primary
2019014193
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-106191
KANSAS STATE BOARD OF PHARMACY
KS
01
—
2019014193
MISSOURI STATE BOARD OF PHARMACY
MO
Enumeration date
09/01/2020
Last updated
09/01/2020
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