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Organization
COOK AND FORTENBERRY PHARMACY
Active
Organization
COOK AND FORTENBERRY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W HOFFMAN RPH (PHARMACIST)
(601) 736-3481
Entity
Organization
Contact information
Practice address
718 MAIN ST, COLUMBIA, MS 39429-2938
(601) 736-3481
Mailing address
718 MAIN ST, COLUMBIA, MS 39429-2938
(601) 736-3481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
046-060992
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330028
—
MS
01
—
2502917
NABP
MS
Enumeration date
12/20/2006
Last updated
12/11/2015
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