Organization
COOKS PHARMACY INC
Active
Other names
COOKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE SPARROW RPH (VP)
(502) 532-7388
Entity
Organization
Contact information
Practice address
8154 MAIN ST, CAMPBELLSBURG, KY 40011-1467
(502) 532-7388
(502) 532-7927
Mailing address
PO BOX 160, CAMPBELLSBURG, KY 40011-0160
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1809322
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54014147
—
KY
Enumeration date
09/13/2006
Last updated
06/15/2012
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