Jerry Cole, RPH

NPI 1437178365 · on the registry since 2006 · sole proprietor

Practice

Address: 16854 Ivy Ave
Suite C
Fontana, CA 92335
Phone: (909) 356-0110
Fax: (909) 356-1024
Organisation at this address: Ivy Pharma Inc
Coles Care Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California