Iesha M Colla, PHARM. D.
Individual provider Active NPI Pharmacist · Thomasville, GA
NPI 1508418112 · NPPES record last updated Dec 23, 2022
Key facts
- NPI
- 1508418112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH031263 (GA)
- Practice address
- 11343 US Highway 319 N
Thomasville, GA 31757-3419 - Phone
- (229) 226-5424
- Fax
- (229) 226-5048
- NPI assigned
- Jul 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031263 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
11343 US Highway 319 N
Thomasville, GA 31757
Phone (229) 226-5424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH031263 | GA | Yes |
Addresses
Primary practice location
11343 US Highway 319 N
Thomasville, GA 31757-3419
Mailing address
PO Box 971
Opelousas, LA 70571-0971
Phone (337) 692-1840
Other practice location 1
280 Compress Rd
Opelousas, LA 70570-1136
Phone (337) 942-2165
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.