Provider Demographics
NPI:1316307770
Name:COOKSEY, ALICIA MARIE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:MARIE
Last Name:COOKSEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:ALICIA
Other - Middle Name:MARIE
Other - Last Name:SUAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:5407 ANDREWS HWY
Mailing Address - Street 2:HEB PHARMACY
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-2851
Mailing Address - Country:US
Mailing Address - Phone:432-699-2650
Mailing Address - Fax:432-699-8283
Practice Address - Street 1:5407 ANDREWS HWY
Practice Address - Street 2:HEB PHARMACY
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-2851
Practice Address - Country:US
Practice Address - Phone:432-699-2650
Practice Address - Fax:432-699-8283
Is Sole Proprietor?:No
Enumeration Date:2016-02-28
Last Update Date:2016-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53265183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist