Individual
REBECCA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
950 E KENOSHA ST, BROKEN ARROW, OK 74012-2071
(918) 251-3996
Mailing address
950 E KENOSHA ST, BROKEN ARROW, OK 74012-2071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18117
OK
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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