Individual
MRS. BEVERLY O COOGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3798 HIGHWAY 42, LOCUST GROVE, GA 30248-3632
(770) 957-6004
(770) 914-0961
Mailing address
199 BURG RD, JENKINSBURG, GA 30234-2004
(770) 775-2112
(770) 775-2112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014416
GA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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