Organization
COOKE FOOD STORE INC
Active
Organization
COOKE FOOD STORE INC
Active
Parent organization
COOKE'S PHARMACY
Other names
Cooke's Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOKE'S PHARMACY
Authorized official
GINA MARIE MOSER (DIRECTOR OF PHARMACY)
(423) 472-6478
Entity
Organization
Contact information
Practice address
3400 KEITH STREET, CLEVELAND, TN 37312
(423) 472-6478
Mailing address
PO BOX 2365, CLEVELAND, TN 37320-2365
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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