Individual
SONJA KAY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 OLD CHISMVILLE RD, GREENWOOD, AR 72936
(479) 462-1650
Mailing address
PO BOX 1472, GREENWOOD, AR 72936-1472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10787
OK
Other
Enumeration date
08/14/2018
Last updated
08/24/2018
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