Individual
KIMBERLY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
613 NORTHSIDE DR E, STATESBORO, GA 30458-2194
(912) 489-3008
Mailing address
406 MCCALL RD, SPRINGFIELD, GA 31329-4914
(912) 244-0037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033231
GA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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