Provider Demographics
NPI:1871876219
Name:ROOKS, PATRICIA JEAN (RPH)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JEAN
Last Name:ROOKS
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 1:8902 CLARKS MILL RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30434-4204
Mailing Address - Country:US
Mailing Address - Phone:478-625-7511
Mailing Address - Fax:
Practice Address - Street 1:400 S LIBERTY ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-1501
Practice Address - Country:US
Practice Address - Phone:706-437-7977
Practice Address - Fax:706-437-7983
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH018514183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist