Provider Demographics
NPI:1861361404
Name:COOK, DANIELLE SUSANNE (PHARMD)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:SUSANNE
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 1:5787 HIGHWAY 64 EAST
Mailing Address - Street 2:
Mailing Address - City:PARKIN
Mailing Address - State:AR
Mailing Address - Zip Code:72373-9003
Mailing Address - Country:US
Mailing Address - Phone:870-755-2838
Mailing Address - Fax:870-755-2840
Practice Address - Street 1:5787 HIGHWAY 64 EAST
Practice Address - Street 2:
Practice Address - City:PARKIN
Practice Address - State:AR
Practice Address - Zip Code:72373-9003
Practice Address - Country:US
Practice Address - Phone:870-755-2838
Practice Address - Fax:870-755-2840
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD16824183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist