Individual
VALERIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4901 W KENOSHA STREET, BROKEN ARROW, OK 74012
(918) 249-0214
Mailing address
11417 E 132ND PL SOUTH, BROKEN ARROW, OK 74011
(918) 369-6781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11549
OK
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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