Individual
CHANDRA KRISTIN COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPP
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-9841
Mailing address
65 BEVERLY DR, SOUTHINGTON, CT 06489-2242
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
8984
CT
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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