Organization Name: | PAMELA L COOK |
NPI Number: | 1962408948 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA L COOK (CPED) |
Mailing Address: | 805 E Main St Russellville |
State: | AR US |
Postal Code: | 728015249 |
Phone Number: | 4798905933 |
Fax Number: | 4798909373 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 10/04/2007 |
NPI Reactivation Date: | 12/21/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |