Individual
MRS. ALICIA DENISE WILLIAMS COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1045 SOUTHCREST DR STE 200, STOCKBRIDGE, GA 30281-6113
(678) 289-0549
Mailing address
4135 JAMES LAKE DR, CONLEY, GA 30288-1378
(404) 213-4235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026776
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
N/A
—
Enumeration date
11/13/2020
Last updated
07/25/2024
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