Provider Demographics
NPI:1023450111
Name:PEE, PAMELA COCHRAN (RPH)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:COCHRAN
Last Name:PEE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 HIGHWAY 16 E
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MS
Mailing Address - Zip Code:39051-4212
Mailing Address - Country:US
Mailing Address - Phone:601-267-4533
Mailing Address - Fax:601-267-3982
Practice Address - Street 1:602 HIGHWAY 16 E
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MS
Practice Address - Zip Code:39051-4212
Practice Address - Country:US
Practice Address - Phone:601-267-4533
Practice Address - Fax:601-267-3982
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE07071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist