Deborah Kay Cook, RPH
Individual provider Active NPI Pharmacist · Waterville, MN
NPI 1346569415 · NPPES record last updated May 27, 2010
Key facts
- NPI
- 1346569415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 112608 (MN)
- Practice address
- 103 3Rd St S
Waterville, MN 56096-1444 - Phone
- (507) 362-8500
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112608 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergs Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 112608 | MN | Yes |
Addresses
Primary practice location
103 3Rd St S
Waterville, MN 56096-1444
Mailing address
103 3Rd St S
Waterville, MN 56096-1444
Phone (507) 362-8500
Other providers in Waterville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2010. 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.