Provider Demographics
NPI:1952733966
Name:COOK, ALISON BETH (PHARM D)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:BETH
Last Name: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 1:720 SNELLING AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-1844
Mailing Address - Country:US
Mailing Address - Phone:651-645-8636
Mailing Address - Fax:651-647-9730
Practice Address - Street 1:720 SNELLING AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-1844
Practice Address - Country:US
Practice Address - Phone:651-645-8636
Practice Address - Fax:651-647-9730
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist