MEDICARE: DR. CATHERINE E COOKE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	14086	MD

General Provider Information

NPI Number	:	1083727820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE E COOKE PHARMD

Provider Business Mailing Address
First Line	:	5106 BONNIE BRANCH RD
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-7034
Country	:	US
Telephone Number	:	410-480-5012
Fax Number	:	410-480-5013

Provider Business Practice Location Address
First Line	:	5106 BONNIE BRANCH RD
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-7034
Country	:	US
Telephone Number	:	410-480-5012
Fax Number	:	410-480-5013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	07/08/2007

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