Cook, Ethylene A

Cook, Ethylene A is an individual health care provider with primary practice located at 126 Broad St , Hawkinsville GA 31036-4815. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Cook, Ethylene A can be contacted via phone (478) 783-4700.

Contact Information

Primary practice address
126 Broad St Hawkinsville GA 31036-4815
Phone: (478) 783-4700
Fax: (478) 783-4706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH025024 Georgia

Profile Details

NPI number 1497035026
LBN Legal business name Cook, Ethylene A
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2011
Last updated Aug 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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