Individual
MR. BENJAMIN MICHAEL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1446 E GASTON ST, LINCOLNTON, NC 28092-4400
(704) 732-1194
(704) 732-9709
Mailing address
2284 HEAVNER RD, LINCOLNTON, NC 28092-8553
(704) 748-1396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9385
NC
Other
Enumeration date
05/22/2012
Last updated
05/23/2012
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