Provider Demographics
NPI:1447606470
Name:BRIGHTLY, AMBER COLE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:COLE
Last Name:BRIGHTLY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5013 WREN AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-6415
Mailing Address - Country:US
Mailing Address - Phone:915-588-1397
Mailing Address - Fax:
Practice Address - Street 1:4171 N MESA ST STE A210
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1443
Practice Address - Country:US
Practice Address - Phone:915-545-1955
Practice Address - Fax:800-294-1667
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist