Organization
COOKES PHARMACY INC
Active
Other names
COOKES PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE BOWERS RPH (PHCST OWNER)
(704) 872-6402
Entity
Organization
Contact information
Practice address
1207 W FRONT ST, STATESVILLE, NC 28677-5052
(704) 873-9498
(704) 873-7483
Mailing address
1207 W FRONT ST, STATESVILLE, NC 28677-5052
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0496000
—
NC
01
—
3416915
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/23/2007
Last updated
03/27/2009
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