Organization
MCCOOKS PHARMACY INC
Active
Other names
McCooks Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LEN MCCOOK (OWNER)
(912) 764-2223
Entity
Organization
Contact information
Practice address
23630 US HIGHWAY 80 E, STATESBORO, GA 30461-6019
(912) 764-2223
(912) 764-2228
Mailing address
23630 US HIGHWAY 80 E, STATESBORO, GA 30461-6019
(912) 764-2223
(912) 764-2228
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
009844
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136360
PK
—
Enumeration date
12/16/2005
Last updated
11/22/2016
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