Most Relevant Information
Provider Data
| NPI Number: | 1003416728 |
| Provider Name: | LISA COLE |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 0202210750 |
Most Important Dates
| Enumeration Date: | 10/30/2020 |
| Last Updated: | 10/30/2020 |
Provider Practice Location
4001 COLLEGE AVE
BLUEFIELD
VA
246052043
Practice Location Phone/Fax
| Phone: | 2763222551 |
| Fax: |
Provider Mailing Location
4001 COLLEGE AVE
BLUEFIELD
VA
246052043
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |