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NPI Code Detail

MEDICARE: EMILY SWAN COOK PHARM D

MEDICARE:   EMILY SWAN COOK  PHARM D
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
1183500000XPharmacist13421TN

General Provider Information

NPI Number : 1063555761
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY SWAN COOK PHARM D
Provider Business Mailing Address
First Line : 1000 ROBERT PRINCE RD
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033
Country : US
Telephone Number : 931-729-4977
Fax Number :
Provider Business Practice Location Address
First Line : 146 E SWAN ST
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033-1446
Country : US
Telephone Number : 931-729-4977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 07/08/2007

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Directions to “ EMILY SWAN COOK PHARM D” Practice Location

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