Healthcare Provider Details

I. General information

NPI: 1265392997
Provider Name (Legal Business Name): ZOEY COOK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W HIGH ST
MOUNT VERNON OH
43050-2427
US

IV. Provider business mailing address

138 AVALON RD
MOUNT VERNON OH
43050-1406
US

V. Phone/Fax

Practice location:
  • Phone: 740-392-0911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03445842
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03445842
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: