Provider Demographics
NPI:1588945703
Name:COOK, HOWARD CLINTON JR (RPH, BCNSP, FASHP)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:CLINTON
Last Name:COOK
Suffix:JR
Gender:M
Credentials:RPH, BCNSP, FASHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5435 COMFORT CIR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9052
Mailing Address - Country:US
Mailing Address - Phone:610-597-7293
Mailing Address - Fax:
Practice Address - Street 1:654 MAIN ST
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1726
Practice Address - Country:US
Practice Address - Phone:610-838-0411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP030948L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist