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Individual
MRS. LANI MICHELLE COOPER
Active
Individual
MRS. LANI MICHELLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5137939-1701
UT
183500000X
Pharmacist
Primary
P5191
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P5192
ID
Other
Enumeration date
12/03/2010
Last updated
08/06/2015
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