Provider Demographics
NPI:1508875725
Name:COX, ELIVABETH ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ELIVABETH
Middle Name:ANN
Last Name:COX
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 STONEY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-1582
Mailing Address - Country:US
Mailing Address - Phone:256-767-0189
Mailing Address - Fax:256-757-9850
Practice Address - Street 1:1621 HIGHWAY 72
Practice Address - Street 2:
Practice Address - City:KILLEN
Practice Address - State:AL
Practice Address - Zip Code:35645-9142
Practice Address - Country:US
Practice Address - Phone:256-757-2166
Practice Address - Fax:256-757-9850
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13235183500000X
TN9871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist