Individual
EDWIN GARRICK COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
823 W STATE HIGHWAY 46, SPENCER, IN 47460-6748
(812) 829-2289
(812) 829-6412
Mailing address
884 S DEER RUN, ELLETTSVILLE, IN 47429-2041
(812) 325-4925
(812) 829-6412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020898A
IN
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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