Organization
ROBERT CECIL ENTERPRISES INC
Active
Other names
COOPER DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CECIL RPH (OWNER PHCST)
(770) 943-3566
Entity
Organization
Contact information
Practice address
4045 LINDLEY CIR, SUITE D, POWDER SPRINGS, GA 30127-2764
(770) 943-3566
(770) 943-0723
Mailing address
4045 LINDLEY CIR, SUITE D, POWDER SPRINGS, GA 30127-2764
(770) 943-3566
(770) 943-0723
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006319
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1113036
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/14/2006
Last updated
11/23/2011
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