# COOK FAMILY HEALTH CENTER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629118757
- **Authorized official:** PAULA F. HURST R.N. (NURSE MANAGER)
- **Authorized official phone:** (812) 337-6163

## Contact information

- **Practice address:** 402 N ROGERS ST, BLOOMINGTON, IN 47404-3740
- **Practice address phone:** (812) 337-6162
- **Practice address fax:** (812) 330-1933
- **Mailing address:** 402 N ROGERS ST, BLOOMINGTON, IN 47404-3740
- **Mailing address phone:** (812) 337-6162
- **Mailing address fax:** (812) 330-1933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 60004296A | IN | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 03/07/2023