Individual
MISS ANITA M COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225R KING ST, NORTHAMPTON, MA 01060-2361
(413) 587-2802
Mailing address
225R KING ST, NORTHAMPTON, MA 01060-2361
(413) 587-2802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21610
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21610
PHARMACIST'S LICENSE
MA
Enumeration date
10/05/2011
Last updated
10/05/2011
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