Individual
DANIEL COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 S MAIN ST, BROWNSVILLE, KY 42210-9001
(270) 597-1044
Mailing address
330 N MAIN ST, SMITHS GROVE, KY 42171-8226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019598
KY
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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