Individual
JASON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6130 GOLDFINCH DR, MAYS LANDING, NJ 08330-3400
(856) 896-1771
Mailing address
6130 GOLDFINCH DR, MAYS LANDING, NJ 08330-3400
(856) 896-1771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03077400
NJ
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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