Provider Demographics
NPI:1457709636
Name:COX, MARY KATHERINE ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARY KATHERINE
Middle Name:ELIZABETH
Last Name:COX
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 1:121 DODD DR
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:WV
Mailing Address - Zip Code:25276-1045
Mailing Address - Country:US
Mailing Address - Phone:304-377-4444
Mailing Address - Fax:
Practice Address - Street 1:509 CHURCH ST S
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:WV
Practice Address - Zip Code:25271-1615
Practice Address - Country:US
Practice Address - Phone:304-372-1605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-29
Last Update Date:2016-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0009411183500000X
OHRPH.03135252-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist