Provider Demographics
NPI:1285021014
Name:MCCOOK, JOSH LEONARD (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JOSH
Middle Name:LEONARD
Last Name:MCCOOK
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23630A HWY 80 E
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30461-6019
Mailing Address - Country:US
Mailing Address - Phone:912-764-2223
Mailing Address - Fax:912-764-2228
Practice Address - Street 1:23630A HWY 80 E
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30461-6019
Practice Address - Country:US
Practice Address - Phone:912-764-2223
Practice Address - Fax:912-764-2228
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH027458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist