Provider Demographics
NPI:1407450810
Name:COLE, JOANNE CLAIRE (RPH)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:CLAIRE
Last Name:COLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8295 E 116TH ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-1503
Mailing Address - Country:US
Mailing Address - Phone:317-570-8571
Mailing Address - Fax:317-570-8930
Practice Address - Street 1:8295 E 116TH ST
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-1503
Practice Address - Country:US
Practice Address - Phone:317-570-8571
Practice Address - Fax:317-570-8930
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017543A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist