Individual
MR. ELMER ALFRED COOK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, MBA
Contact information
Practice address
900 W DEUCE OF CLUBS, SHOW LOW, AZ 85901-6214
(928) 532-5659
(928) 532-5656
Mailing address
PO BOX 2332, 1401 NORTH FAIRWAY DR, SHOW LOW, AZ 85902-2332
(928) 537-4592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12305
AZ
Other
Enumeration date
01/24/2007
Last updated
11/09/2010
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