Individual
MRS. MICHELE DIANE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
311 W BROADWAY ST, BOX 331, EAGLE GROVE, IA 50533-1711
(515) 448-3814
(515) 448-5429
Mailing address
311 W BROADWAY ST, BOX 331, EAGLE GROVE, IA 50533-1711
(515) 448-3814
(515) 448-5429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15541
IA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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