| NPI | 1700127909 |
|---|---|
| Doing Business As | COOK CHILDREN'S PHARMACY #1 |
| Entity Type | Organization |
| Authorized Contact | CORY R RHOADES Chief Financial Officer 682-885-4480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28690) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2022-02-01 |