| NPI | 1164018479 |
|---|---|
| Former Name | WANDA CAROL COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E06619) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK R15569) |
| 183500000X Pharmacist (Licence: AL 18175) | |
| 183500000X Pharmacist (Licence: TN 36488) | |
| 183500000X Pharmacist (Licence: LA PST.020401) | |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |