# MCCOOKS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McCooks Pharmacy Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619953205
- **Authorized official:** LEN MCCOOK (OWNER)
- **Authorized official phone:** (912) 764-2223

## Contact information

- **Practice address:** 23630 US HIGHWAY 80 E, STATESBORO, GA 30461-6019
- **Practice address phone:** (912) 764-2223
- **Practice address fax:** (912) 764-2228
- **Mailing address:** 23630 US HIGHWAY 80 E, STATESBORO, GA 30461-6019
- **Mailing address phone:** (912) 764-2223
- **Mailing address fax:** (912) 764-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 009844 | GA | Yes |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 11/22/2016