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Individual

MR. DARWIN REID COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
011916
TN
183500000X
Pharmacist
Primary
012119
GA

Other

Enumeration date
04/21/2011
Last updated
04/21/2011
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