Provider Demographics
NPI:1982850970
Name:COOK, WILLIAM C (RPH)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:COOK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2279 ABBEYGLEN CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6293
Mailing Address - Country:US
Mailing Address - Phone:205-999-6038
Mailing Address - Fax:
Practice Address - Street 1:2279 ABBEYGLEN CIR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-6293
Practice Address - Country:US
Practice Address - Phone:205-999-6038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10059183500000X
FL18258183500000X
GA12980183500000X
MSD6721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist