Provider Demographics
NPI:1619633047
Name:COOK, PATRICIA MARIE (RPH)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARIE
Last Name:COOK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GIANT EAGLE CORP
Mailing Address - Street 2:101 KAPPA DRIVE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238
Mailing Address - Country:US
Mailing Address - Phone:724-592-6057
Mailing Address - Fax:724-592-7494
Practice Address - Street 1:999 N EIGHTY EIGHT RD
Practice Address - Street 2:
Practice Address - City:RICES LANDING
Practice Address - State:PA
Practice Address - Zip Code:15357-1102
Practice Address - Country:US
Practice Address - Phone:724-592-6057
Practice Address - Fax:724-592-7494
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP302704L183500000X
PARP032704L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist