Individual
CASEY PAUL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
603 QUAIL CREEK DR, SUITE 700, AMARILLO, TX 79124-1654
(806) 352-1212
(806) 352-1211
Mailing address
603 QUAIL CREEK DR, SUITE 700, AMARILLO, TX 79124-1654
(806) 352-1212
(806) 352-1211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44376
TX
1835N1003X
Nutrition Support Pharmacist
44376
TX
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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