Provider Demographics
NPI:1780460030
Name:COOKE, MARGARET ELLEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ELLEN
Last Name:COOKE
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 1:122 OSPREY LN
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5263
Mailing Address - Country:US
Mailing Address - Phone:509-334-5468
Mailing Address - Fax:
Practice Address - Street 1:205 OTT ROAD ROOM 1701 PHARMACY
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99164-0001
Practice Address - Country:US
Practice Address - Phone:509-335-0736
Practice Address - Fax:509-335-5038
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00021611183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist