Individual
DR MARQUITA N/A COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
5119 MONROE ST, MATTESON, IL 60443-3072
(773) 824-5867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051294744
IL
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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