Individual
DAVID ALPHONSO COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 977-2020
(507) 977-2010
Mailing address
2250 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 977-2020
(507) 977-2010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116865
MN
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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