Individual
JACQUELINE GALE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 ERVIN CT, JACKSONVILLE, NC 28546-9148
(704) 534-1214
Mailing address
105 ERVIN CT, JACKSONVILLE, NC 28546-9148
(704) 534-1214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31632
NC
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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