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Individual

DR. COUPER D MILLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
14313 NE 20TH AVE STE 109, VANCOUVER, WA 98686-1487
(801) 828-6996
Mailing address
14313 NE 20TH AVE STE 109, VANCOUVER, WA 98686-1487

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7073375-1701
UT
183500000X
Pharmacist
PH60946298
WA

Other

Enumeration date
05/29/2019
Last updated
05/29/2019
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