Individual
TRAVIS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 PINEVIEW DR, MORGANTOWN, WV 26505-2721
(304) 598-7535
Mailing address
3106 GRANTS DR, MORGANTOWN, WV 26505-1736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012726
WV
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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