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NPI Code Detail

MEDICARE: BRITTANY FAITH COLE

MEDICARE:   BRITTANY FAITH COLE
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
1183500000XPharmacist18816OK

General Provider Information

NPI Number : 1639772718
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY FAITH COLE
Provider Business Mailing Address
First Line : 2316 MAKAILA WAY
Second Line :
City : YUKON
State : OK
Zip : 73099-7698
Country : US
Telephone Number : 580-216-2125
Fax Number :
Provider Business Practice Location Address
First Line : 5401 TINKER DIAGONAL
Second Line :
City : DEL CITY
State : OK
Zip : 73115-4622
Country : US
Telephone Number : 405-670-1030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ BRITTANY FAITH COLE ” Practice Location

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