Cooley Drug Inc
Organization Active NPI Community/Retail Pharmacy · Waynesboro, MS
NPI 1104952183 · NPPES record last updated Oct 12, 2007
Key facts
- NPI
- 1104952183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 01659011 (MS)
- Legal business name
- COOLEY DRUG INC
- Practice address
- 310 Mississippi Dr
Waynesboro, MS 39367-2810 - Phone
- (601) 735-2227
- Fax
- (601) 735-0391
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. James K Cooley, RPH
- Title
- Pharmacist and Owner
- Phone
- (601) 735-4022
National Provider Directory
Locations
310 Mississippi Dr
Waynesboro, MS 39367
Phone (601) 735-2227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 01659011 | MS | Yes |
Addresses
Primary practice location
310 Mississippi Dr
Waynesboro, MS 39367-2810
Mailing address
310 Mississippi Dr
Waynesboro, MS 39367-2810
Phone (601) 735-2227
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00090027 | Medicaid | MS | |
| 00440940 | Medicaid | MS |
Other providers in Waynesboro, MS
- Kelley Christian Gowdy
- Coaker Chiropractic Clinic, P.C.
- Brittney Alise Coaker
- Megan Cook
- Bobbie Jean Cooksey
- Cooley Drug Inc
- Tangle Daniels
- Paula Davis
- Marie Dickerson
- Jerrica Dixon
All providers in Waynesboro, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.