Provider Demographics
NPI:1164456224
Name:COOK, JANNA P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JANNA
Middle Name:P
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 1:8817 W 132ND PL
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-4628
Mailing Address - Country:US
Mailing Address - Phone:913-814-9302
Mailing Address - Fax:
Practice Address - Street 1:8817 W 132ND PL
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-4628
Practice Address - Country:US
Practice Address - Phone:913-814-9302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO045323183500000X
KS1-14125183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist