Organization
COOLEY DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES K COOLEY RPH (PHARMACIST AND OWNER)
(601) 735-4022
Entity
Organization
Contact information
Practice address
310 MISSISSIPPI DR, WAYNESBORO, MS 39367-2810
(601) 735-2227
(601) 735-0391
Mailing address
310 MISSISSIPPI DR, WAYNESBORO, MS 39367-2810
(601) 735-2227
(601) 735-0391
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01659011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00090027
—
MS
05
—
00440940
—
MS
Enumeration date
02/26/2007
Last updated
10/12/2007
Update your record
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