Jerry Daniel Cole is a Pharmacist in Fontana, California. Jerry Daniel Cole practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jerry Daniel Cole is 1437178365. The last update date is 2007-12-18.
Jerry Daniel Cole's current location address is 16854 Ivy Ave, Fontana, California. You can contact this provider via phone number 9093560110 and fax number 9093561024. The mailing address for Jerry Daniel Cole is 16854 Ivy Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Daniel Cole |
|---|---|
| Address | 16854 Ivy Ave, Fontana, California |
| Phone Number | 9093560110 |
| Fax Number | 9093561024 |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1437178365 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 16854 Ivy Ave |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 92335 |
| Phone Number | 9093560110 |
| Fax Number | 9093561024 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 27438 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 596354 | CA | NABP NUMBER | |
| PHA352970 | CA | -- |
Post Comment/ Review Below
What is the Jerry Daniel Cole's unique identification number?
The Jerry Daniel Cole has been assigned the NPI (National Provider Identifier) Number 1437178365 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jerry Daniel Cole?
The Jerry Daniel Cole is physically situated at 16854 Ivy Ave, in the city of Fontana, state of CA, with the postal code 92335.
What is Jerry Daniel Cole's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry Daniel Cole is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Jerry Daniel Cole receive the assignment of its 1437178365 from the Centers for Medicare & Medicaid Services?
The Jerry Daniel Cole was issued its 1437178365 by the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information pertaining to Jerry Daniel Cole most recently updated or revised?
The details related to Jerry Daniel Cole, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-18.