Individual
ETHYLENE A COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
126 BROAD ST, HAWKINSVILLE, GA 31036-4815
(478) 783-4700
(478) 783-4706
Mailing address
126 BROAD ST, HAWKINSVILLE, GA 31036-4815
(478) 783-4700
(478) 783-4706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025024
GA
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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