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NPI Code Detail

MEDICARE: MRS. MERYL LYNN COOK RPH

MEDICARE: MRS. MERYL LYNN COOK RPH
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
1183500000XPharmacist014112GA

General Provider Information

NPI Number : 1427193465
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MERYL LYNN COOK RPH
Provider Business Mailing Address
First Line : 4056 CROSSFIELD CT
Second Line :
City : MARIETTA
State : GA
Zip : 30062-1122
Country : US
Telephone Number : 770-974-3131
Fax Number : 770-975-9735
Provider Business Practice Location Address
First Line : 4797 S MAIN ST
Second Line :
City : ACWORTH
State : GA
Zip : 30101-5339
Country : US
Telephone Number : 770-974-3131
Fax Number : 770-975-9735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 07/08/2007

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