Individual
CLAY MATHEW COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2110 W SLAUGHTER LN, AUSTIN, TX 78748-5992
(512) 282-0990
Mailing address
2110 W SLAUGHTER LN, AUSTIN, TX 78748-5992
(512) 282-0990
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30077908
TX
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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