Organization
SCOTT-COOK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W. MARVIN COOK JR. RPH. (PHARMACIST/OWNER)
(334) 712-2000
Entity
Organization
Contact information
Practice address
1233 WESTGATE PKWY., DOTHAN, AL 36303
(334) 712-2000
(334) 712-2002
Mailing address
1233 WESTGATE PKWY, DOTHAN, AL 36303-2151
(334) 712-2000
(334) 712-2002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
112404
AL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009600350
—
AL
05
—
100002489
—
AL
01
—
51057108
PROVIDER
AL
Enumeration date
08/08/2006
Last updated
10/04/2021
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