Provider Demographics
NPI:1942296587
Name:COOK, BARRY J (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:J
Last Name:COOK
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 BERESFORD WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-6435
Mailing Address - Country:US
Mailing Address - Phone:407-321-9711
Mailing Address - Fax:407-792-6125
Practice Address - Street 1:913 BERESFORD WAY
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-6435
Practice Address - Country:US
Practice Address - Phone:407-321-9711
Practice Address - Fax:407-792-6125
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2010-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RIO13723001835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy