Cook and Fortenberry Pharmacy
Organization Active NPI Pharmacist · Columbia, MS
NPI 1740344142 · NPPES record last updated Dec 11, 2015
Key facts
- NPI
- 1740344142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 046-060992 (MS)
- Legal business name
- COOK AND FORTENBERRY PHARMACY
- Practice address
- 718 Main St
Columbia, MS 39429-2938 - Phone
- (601) 736-3481
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
Authorized official
- Name
- John W Hoffman, RPH
- Title
- Pharmacist
- Phone
- (601) 736-3481
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 046-060992 | MS | Yes |
Addresses
Primary practice location
718 Main St
Columbia, MS 39429-2938
Mailing address
718 Main St
Columbia, MS 39429-2938
Phone (601) 736-3481
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2502917 | Other | MS | NABP |
| 00330028 | Medicaid | MS |
Other providers in Columbia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2015. 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.