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NPI Code Detail

MEDICARE: DR. THAXTON COOK

MEDICARE: DR. THAXTON COOK
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
1183500000XPharmacist4688WY

General Provider Information

NPI Number : 1295669356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THAXTON COOK
Provider Business Mailing Address
First Line : 1916 E SHERIDAN ST
Second Line :
City : LARAMIE
State : WY
Zip : 82070-4321
Country : US
Telephone Number : 307-760-2443
Fax Number :
Provider Business Practice Location Address
First Line : 4005 E GRAND AVE
Second Line :
City : LARAMIE
State : WY
Zip : 82070-5161
Country : US
Telephone Number : 307-745-1557
Fax Number : 307-742-0787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ DR. THAXTON COOK ” Practice Location

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