NPI 1073695904

Ivey L McCook

Practitioner Pharmacist Statesboro, GA

Practice location

Address: 23630a Hwy 80 East, Statesboro, GA 30458
Phone: (912) 764-2223
Fax: (912) 764-2228
Mailing address: 23630 US Highway 80 E, Statesboro, GA 30461-6019

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 014054 (GA)

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Registry record

NPI: 1073695904
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2006
Record last updated: 17 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.