Individual
JAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15033 W 102ND AVE, DYER, IN 46311-7752
(219) 644-7818
Mailing address
4750 E 450 S STE A, WHITESTOWN, IN 46075-8404
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
26023843A
IN
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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