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Individual
DR. DOUGLAS SCOTT COCKRELL
Active
Individual
DR. DOUGLAS SCOTT COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288811
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051288811
STATE LICENSE
IL
Enumeration date
11/26/2017
Last updated
11/26/2017
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