Healthcare Provider Details

I. General information

NPI: 1689687469
Provider Name (Legal Business Name): DAVID ROOKER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28891 HIGHWAY 5
WOODSTOCK AL
35188-3614
US

IV. Provider business mailing address

28891 HIGHWAY 5
WOODSTOCK AL
35188-3614
US

V. Phone/Fax

Practice location:
  • Phone: 205-938-9221
  • Fax: 205-938-9290
Mailing address:
  • Phone: 205-938-9221
  • Fax: 205-938-9290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9063
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: