Provider Demographics
NPI:1861467441
Name:COX, GAIL BARTHOLOMEW (BS PHARM RPH)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:BARTHOLOMEW
Last Name:COX
Suffix:
Gender:F
Credentials:BS PHARM RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11949 STRAIGHT A WAY LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-7105
Mailing Address - Country:US
Mailing Address - Phone:919-676-7134
Mailing Address - Fax:
Practice Address - Street 1:114 W MAIN ST
Practice Address - Street 2:GURLEYS PHARMACY
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3604
Practice Address - Country:US
Practice Address - Phone:919-688-8978
Practice Address - Fax:919-688-8072
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11510183500000X
MA16824183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0326660Medicaid