Provider Demographics
NPI:1356949929
Name:COX, TERESA LOUISE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:LOUISE
Last Name:COX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:TERESA
Other - Middle Name:LOUISE
Other - Last Name:VALLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMM
Mailing Address - Street 1:1800 E VAN BUREN ST., ST. LUKE'S BEHAVIORAL HEALTH
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006
Mailing Address - Country:US
Mailing Address - Phone:602-251-8800
Mailing Address - Fax:602-251-8154
Practice Address - Street 1:1800 E VAN BUREN ST., ST. LUKE'S BEHAVIORAL HEALTH
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:602-251-8800
Practice Address - Fax:602-251-8154
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302410646183500000X
AZ5020943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist