Provider Demographics
NPI:1558703124
Name:COOK, HELEN COCO (PHARMD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:COCO
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 1:3300 HONOLULU AVE
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3329
Mailing Address - Country:US
Mailing Address - Phone:818-317-0768
Mailing Address - Fax:818-827-4993
Practice Address - Street 1:3300 HONOLULU AVE
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-3329
Practice Address - Country:US
Practice Address - Phone:818-330-8920
Practice Address - Fax:818-279-0622
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30890183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist