# COOPERS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cooper's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205313897
- **Authorized official:** DEREK BERGGREN (OWNER)
- **Authorized official phone:** (225) 975-5715

## Contact information

- **Practice address:** 810 W HIGHWAY 30, GONZALES, LA 70737-4806
- **Practice address phone:** (225) 450-6299
- **Mailing address:** 41117 CLEARWATER AVE, GONZALES, LA 70737-0731
- **Mailing address phone:** (225) 975-5715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PENDING | LA | Yes |

## Other

- **Enumeration date:** 07/26/2018
- **Last updated:** 07/26/2018