Provider Demographics
NPI:1558102301
Name:MASSIE, COLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:COLE
Middle Name:
Last Name:MASSIE
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 1:2 BRITTANY CT
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON COURT HOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43160-8919
Mailing Address - Country:US
Mailing Address - Phone:740-463-3297
Mailing Address - Fax:
Practice Address - Street 1:175 LANCASTER PIKE
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1840
Practice Address - Country:US
Practice Address - Phone:740-477-5763
Practice Address - Fax:740-477-5766
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPP-0008398191835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist