Individual
JACQUELINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 703-1146
Mailing address
9206 HIBISCUS DR, SAINT JOHN, IN 46373-8423
(219) 808-6091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022815A
IN
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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