Most Relevant Information
Provider Data
| NPI Number: | 1003356569 |
| Provider Name: | MISTY LAREE COLE |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 42687 |
Most Important Dates
| Enumeration Date: | 03/03/2017 |
| Last Updated: | 10/17/2022 |
Provider Practice Location
8766 NAVAJO RD
SAN DIEGO
CA
921192722
Practice Location Phone/Fax
| Phone: | 6196678764 |
| Fax: |
Provider Mailing Location
8766 NAVAJO RD
SAN DIEGO
CA
921192722
Provider Mailing Phone/Fax
| Phone: | 6196678764 |
| Fax: | 8587555707 |