Provider Demographics
NPI:1194046805
Name:COX, HENRY CLAY (RPH)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:CLAY
Last Name:COX
Suffix:
Gender:M
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:USAHC BAUMHOLDER
Mailing Address - Street 2:CMR 405 BOX 1325
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09034
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:USAHC UNIT 23809 BOX 52
Practice Address - Street 2:ATTENTION: PHARMACY
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09034-0052
Practice Address - Country:US
Practice Address - Phone:314-485-6720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP5558183500000X
FLPS39645183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist