Healthcare Provider Details

I. General information

NPI: 1417284159
Provider Name (Legal Business Name): JUSTIN WESLEY COLE PHARMD, BCPS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR DEPARTMENT OF PHARMACY
COLUMBUS OH
43205-2664
US

IV. Provider business mailing address

251 N MAIN ST
CEDARVILLE OH
45314-8501
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-3498
  • Fax: 614-722-2189
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03127301
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: