Cooke's Food Store

NPI 1114310224 - Pharmacy - 3336C0003X

NPI Details
NPI 1114310224
Enumeration Date 03/13/2015
Last Updated 04/19/2016
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name GINA GINA
Position DIRECTOR OF PHARMACY OPERATION
Phone (423) 216-0050
Fax (423) 216-0053
Practice Location
116 WHITE WATER DR
OCOEE TN, 37361-3644, US
Phone (423) 216-0050
Fax (423) 216-0053
Business Location
PO BOX 2365
CLEVELAND TN, 37320-2365, US
Phone (423) 216-0050
Fax (423) 216-0053
Toxanomy
Taxonomy Code 3336C0003X
License State Tennessee
License Number 00005532
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According to our database, Cooke's Food Store NPI is 1114310224, taxonomy code is 3336C0003X and license number is 00005532, license state is located at Tennessee. Cooke's Food Store physically located at 116 White Water Dr, Ocoee TN, 37361-3644. NPI Number 1033115704 has the healthcare provider type.

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1114310224 NPI number is provided on an as is basis without warranty of any kind. 1114310224 is maintained by the National Plan & Provider Enumeration System. The contents of Cooke's Food Store are for informational purposes only.