Organization
COOK WHOLESALE CO INC
Active
Other names
Cook Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ANDERSON (CFO)
(601) 732-6334
Entity
Organization
Contact information
Practice address
162 HIGHWAY 13 S, MORTON, MS 39117-3352
(601) 732-6334
(601) 732-7124
Mailing address
150 LAKESHORE RD, PELAHATCHIE, MS 39145-2711
(601) 732-6334
(601) 732-7124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
04573
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440675
—
MS
Enumeration date
04/20/2007
Last updated
01/26/2021
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