Individual
DR. BRANDON CHRISTOPHER KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1122 VAUGHN RD, WOOD RIVER, IL 62095-1848
(618) 259-2013
(618) 259-2098
Mailing address
1122 VAUGHN RD, WOOD RIVER, IL 62095-1848
(618) 259-2013
(618) 259-2098
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051305121
IL
Other
Enumeration date
09/02/2022
Last updated
10/01/2022
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