| NPI | 1992400261 |
|---|---|
| Doing Business As | COOK CHILDREN'S RETAIL PHARMACY - DODSON |
| Entity Type | Organization |
| Authorized Contact | CORY RHOADES Chief Financial Officer 682-885-4480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |