Provider Demographics
NPI:1477221265
Name:CADENA, COLE EDWARD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:COLE
Middle Name:EDWARD
Last Name:CADENA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 QUALIA DR
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-7646
Mailing Address - Country:US
Mailing Address - Phone:830-719-9659
Mailing Address - Fax:
Practice Address - Street 1:200 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-4658
Practice Address - Country:US
Practice Address - Phone:830-774-4579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-06
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69342183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist