Organization
COOK DISCOUNT DRUGS INC
Active
Other names
COOK DISCOUNT DRUGS, INC, COOK DISCOUNT DRUG, INC, COOK DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ALLEN TAYLOR (OWNER)
(850) 263-4110
Entity
Organization
Contact information
Practice address
5324 BROWN ST, GRACEVILLE, FL 32440
(850) 263-4110
(850) 263-3125
Mailing address
5324 BROWN ST, GRACEVILLE, FL 32440-2238
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH6634
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010735
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
106338100
—
FL
Enumeration date
09/30/2006
Last updated
06/10/2024
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