Individual
DR. KEVIN WADE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2490 PARR AVE STE 9, DYERSBURG, TN 38024-2030
(731) 285-0844
(731) 285-0885
Mailing address
2301 WESTWOOD CV, DYERSBURG, TN 38024-5284
(731) 285-0844
(731) 285-0885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21780
TN
Other
Enumeration date
01/16/2007
Last updated
04/21/2011
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