Provider Demographics
NPI:1083006456
Name:COOK, ALISON (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 LIBERTY FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2680
Mailing Address - Country:US
Mailing Address - Phone:513-785-7920
Mailing Address - Fax:513-785-7921
Practice Address - Street 1:5420 LIBERTY FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-2680
Practice Address - Country:US
Practice Address - Phone:513-785-7920
Practice Address - Fax:513-785-7921
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03232795183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist