Organization
FOUR COOKS INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COOK RPH (OWNER)
(423) 743-7137
Entity
Organization
Contact information
Practice address
300 N MAIN AVE, ERWIN, TN 37650-1236
(423) 743-7137
(423) 743-7455
Mailing address
300 N MAIN AVE, ERWIN, TN 37650-1236
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2351
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452242
—
TN
01
—
4427301
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
03/07/2023
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