Organization
COOK CHILDREN'S MEDICAL CENTER
Active
Parent organization
COOK CHILDREN'S MEDICAL CENTER
Other names
COOK CHILDREN'S PHARMACY #1
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S MEDICAL CENTER
Authorized official
CORY R RHOADES (CHIEF FINANCIAL OFFICER)
(682) 885-4480
Entity
Organization
Contact information
Practice address
801 7TH AVE STE 1700, FORT WORTH, TX 76104-2796
(682) 885-3142
(682) 885-6916
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4183
(682) 885-7990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28690
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
03/13/2013
Last updated
02/01/2022
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