Most Relevant Information
Provider Data
| NPI Number: | 1003051830 |
| Provider Name: | DARLENE ROQUE COOK |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 11759 |
Most Important Dates
| Enumeration Date: | 12/08/2008 |
| Last Updated: | 09/06/2023 |
Provider Practice Location
510 E STONER AVE
SHREVEPORT
LA
711014243
Practice Location Phone/Fax
| Phone: | 3189905228 |
| Fax: |
Provider Mailing Location
1427 MAGNOLIA RDG
BOSSIER CITY
LA
711125043
Provider Mailing Phone/Fax
| Phone: | 3186170569 |
| Fax: |