Provider Demographics
NPI:1740268572
Name:COONEY, JOHN ROBINSON (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ROBINSON
Last Name:COONEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:118 E CHURCHVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3802
Mailing Address - Country:US
Mailing Address - Phone:410-838-3281
Mailing Address - Fax:410-836-8429
Practice Address - Street 1:1510 CONOWINGO RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-1812
Practice Address - Country:US
Practice Address - Phone:410-838-0990
Practice Address - Fax:410-836-8429
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD06637183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist