Provider Demographics
NPI:1194541144
Name:COLE, JANEL (PHARMD)
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:
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 1:5319 ARBOR GATES DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5619
Mailing Address - Country:US
Mailing Address - Phone:340-473-1719
Mailing Address - Fax:
Practice Address - Street 1:1102 N 5TH AVE NE STE 200
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-2623
Practice Address - Country:US
Practice Address - Phone:706-314-9735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH035212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist