Provider Demographics
NPI:1669712675
Name:CATHEY-COOK, TAMARA JEAN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:JEAN
Last Name:CATHEY-COOK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8210 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011-7019
Mailing Address - Country:US
Mailing Address - Phone:918-906-5822
Mailing Address - Fax:
Practice Address - Street 1:8210 S 1ST ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74011-7019
Practice Address - Country:US
Practice Address - Phone:918-906-5822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist