COOKE FOOD STORE INC NPI 1972153708

NPI Information

  • NPI: 1972153708
  • Provider Name: COOKE FOOD STORE INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 3400 KEITH STREET
    CLEVELAND, TN
    ZIP 37312
  • Phone: (423) 472-6478

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NPI Details

COOKE FOOD STORE INC is a long term care pharmacy pharmacy in Cleveland, TN. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. COOKE FOOD STORE INC NPI is 1972153708. The provider is registered as an organization entity type.

The provider's business location address is:

3400 KEITH STREET
CLEVELAND, TN
ZIP 37312
Phone: (423) 472-6478

The provider's authorized official is Gina Marie Moser .
The authorized official title is Director Of Pharmacy and has the following contact phone number (423) 472-6478.

The enumeration date for this NPI number is 9/13/2019 and was last updated on 9/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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