Organization
COOK CHILDREN'S MEDICAL CENTER
Active
Parent organization
COOK CHILDREN'S MEDICAL CENTER
Other names
Cook Children's Retail Pharmacy - Dodson
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S MEDICAL CENTER
Authorized official
CORY RHOADES (CHIEF FINANCIAL OFFICER)
(682) 885-4480
Entity
Organization
Contact information
Practice address
1500 COOPER ST STE 1541, FORT WORTH, TX 76104-2710
(682) 303-3900
(682) 303-3901
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
718370002
—
TX
Enumeration date
04/04/2023
Last updated
05/28/2025
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