Provider Demographics
NPI:1801279021
Name:COLE, BRITTANY MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:MARIE
Last Name:COLE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 61
Mailing Address - Street 2:7 NORTH CHEROKEE LANE APARTMENT C
Mailing Address - City:SALMON
Mailing Address - State:ID
Mailing Address - Zip Code:83467-0061
Mailing Address - Country:US
Mailing Address - Phone:208-566-7789
Mailing Address - Fax:
Practice Address - Street 1:1200 SHOUP ST
Practice Address - Street 2:
Practice Address - City:SALMON
Practice Address - State:ID
Practice Address - Zip Code:83467-4300
Practice Address - Country:US
Practice Address - Phone:208-756-1940
Practice Address - Fax:208-756-1790
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP7273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist