Individual
BRIAN KEITH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1451 SEBASTIAN BLVD, SEBASTIAN, FL 32958-5166
(772) 581-5725
(772) 581-5863
Mailing address
3721 10TH CT, VERO BEACH, FL 32960-6559
(772) 567-2555
(772) 567-0013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS40522
FL
Other
Enumeration date
01/09/2013
Last updated
09/30/2013
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