Individual
DR. JOHN PHILLIP KOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
11800 STATE AVE, BRAINERD, MN 56401-7308
(218) 828-2759
(218) 828-2207
Mailing address
11800 STATE AVE, BRAINERD, MN 56401-7308
(218) 828-2759
(218) 828-2207
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
114002-4
MN
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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