| Organization Name: | COOK WHOLESALE CO INC |
| NPI Number: | 1003214198 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS COOK (PRESIDENT/OWNER) |
| Mailing Address: | 404 Highway 16 E Carthage |
| State: | MS US |
| Postal Code: | 390514208 |
| Phone Number: | 6012676334 |
| Fax Number: | 6012676334 |
| NPI Enumeration Date: | 12/05/2014 |
| NPI Last Update Date: | 08/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |