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NPI Code Detail

MEDICARE: DR. JUSTIN WESLEY COLE PHARMD, BCPS

MEDICARE: DR. JUSTIN WESLEY COLE PHARMD, BCPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03127301OH

General Provider Information

NPI Number : 1417284159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN WESLEY COLE PHARMD, BCPS
Provider Business Mailing Address
First Line : 251 N MAIN ST
Second Line :
City : CEDARVILLE
State : OH
Zip : 45314-8501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 CHILDRENS DR
Second Line : DEPARTMENT OF PHARMACY
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-3498
Fax Number : 614-722-2189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2009
Last Update Date : 12/10/2025

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