Individual
CAMERON COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 W BROADWAY, COLUMBIA, MO 65203-0102
(573) 447-2144
Mailing address
3005 TROYER DR APT B, COLUMBIA, MO 65203-3620
(816) 456-2168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2024032012
MO
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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