Individual
KRISTIN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 ATLANTA HWY, LOGANVILLE, GA 30052-7316
(678) 863-7373
Mailing address
5736 SCREECH OWL DR, FLOWERY BRANCH, GA 30542-1203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029711
GA
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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