Provider Demographics
NPI:1306127899
Name:COTTINGTON, GARY D (BS PHARMACY)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:D
Last Name:COTTINGTON
Suffix:
Gender:M
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-2517
Mailing Address - Country:US
Mailing Address - Phone:641-226-5077
Mailing Address - Fax:641-226-5080
Practice Address - Street 1:327 W 4TH ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-2517
Practice Address - Country:US
Practice Address - Phone:641-226-5077
Practice Address - Fax:641-226-5080
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC13616183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist