Individual
DR. BENJAMIN JAMES COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
612 4TH ST NW, FARIBAULT, MN 55021-5035
(507) 332-9783
(507) 332-9824
Mailing address
612 4TH ST NW, FARIBAULT, MN 55021-5035
(507) 332-9783
(507) 332-9824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118069
MN
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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