JERRY DANIEL COLE

FONTANA, CA
NPI1437178365
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  27438)
Enumeration Date2006-07-19
Last Update Date2007-12-18
Business Address
Mr. JERRY DANIEL COLE RPH
16854 IVY AVE SUITE C
FONTANA, CA 92335
Phone number: 909-356-0110
Mailing Address
Mr. JERRY DANIEL COLE RPH
488 HIGHWAY 2
WRIGHTWOOD, CA 92397
Phone number: 760-249-6505