Individual
SARA LOUISE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 E PAULDING RD, FORT WAYNE, IN 46816-1223
(260) 456-3429
Mailing address
8211 FALLEN PINE CT, FORT WAYNE, IN 46815-8778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019328A
IN
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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