Organization
COOKS PHARMACY INC.
Active
Other names
DURHAM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM F DURHAM JR. DIRECTOR OF PHARMACY (PHARMACIST MANAGER)
(205) 695-9611
Entity
Organization
Contact information
Practice address
44801 HIGHWAY 17, VERNON, AL 35592-5647
(205) 695-9611
(205) 695-7455
Mailing address
PO BOX 509, VERNON, AL 35592-0509
(205) 695-9611
(205) 695-7455
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
102740
AL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101232
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
100000009
—
AL
Enumeration date
03/12/2007
Last updated
11/30/2010
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