Organization
SCOTT COOK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W, MARVIN COOK JR. RPH (PHARMACIST)
(334) 712-2000
Entity
Organization
Contact information
Practice address
1233 WESTGATE PKWY, DOTHAN, AL 36303
(334) 712-2000
(334) 712-2002
Mailing address
1233 WESTGATE PKWY, DOTHAN, AL 36303
(334) 712-2000
(334) 712-2002
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112404
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51057108
BCBS PROVIDER ID
AL
Enumeration date
09/07/2006
Last updated
08/22/2020
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