Healthcare Provider Details

I. General information

NPI: 1043400468
Provider Name (Legal Business Name): LAUREN M COOK RPH,PHARMD,CDE,BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

V. Phone/Fax

Practice location:
  • Phone: 615-873-7815
  • Fax:
Mailing address:
  • Phone: 615-873-7815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number18516
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: