Individual
MR. DANIEL LESLIE COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
61535 S HWY 97, BEND, OR 97702
(541) 385-6658
(541) 385-6652
Mailing address
61535 S HWY 97, BEND, OR 97702
(541) 385-6658
(541) 385-6652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5023
OR
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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