Organization Name: | COOKES PHARMACY INC |
NPI Number: | 1124019773 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYLE A HAFLETT (PRES/V. PRES) |
Mailing Address: | 14 Elmira St Troy |
State: | PA US |
Postal Code: | 16947 |
Phone Number: | 5702972848 |
Fax Number: | 5702972841 |
NPI Enumeration Date: | 11/02/2005 |
NPI Last Update Date: | 02/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PP411514L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |