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Dr. Andrew Scott Cockrell, Pharmacist

Pharmacist in Marion, IL. Individual provider (NPI-1).

NPI number1982252102
StatusActive
Last updated in NPPESMar 13, 2024

Details

NPI
1982252102
Entity type
Individual (NPI-1)
Name
Dr. Andrew Scott Cockrell
Credential
Pharmacist
Sex
Male
Sole proprietor
No
Enumeration date
Aug 30, 2019
Certification date
Mar 13, 2024
Last updated
Mar 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051301316ILYes

Practice location

2401 W Main St
Marion, IL 62959-1188

Phone 618-997-5311

Mailing address

2401 W Main St
Marion, IL 62959-1188

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