Individual
CHARLES COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
575 LISBON ST, LISBON FALLS, ME 04252-1114
(207) 353-4843
Mailing address
575 LISBON ST, LISBON FALLS, ME 04252-1114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR27902
ME
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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