Individual
MR. CHARLES STEVEN KOOPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1500
(909) 825-7084
(909) 422-3017
Mailing address
6624 VENETO PL, RANCHO CUCAMONGA, CA 91701-9018
(909) 219-1412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5928902-1701
UT
183500000X
Pharmacist
68391
CA
Other
Enumeration date
05/03/2007
Last updated
07/14/2022
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