Individual
MR. GARY VANCE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S. PHARM
Contact information
Practice address
101 E ATKINS ST, KERR DRUG #304, DOBSON, NC 27017-8700
(336) 386-4168
Mailing address
170 FORKNER FARM TRL, MOUNT AIRY, NC 27030-6764
(336) 755-3247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22237
NC
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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