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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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