Individual
KEGAN JORDAN COPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
522 W FINNIE FLAT RD STE A, CAMP VERDE, AZ 86322-7265
(928) 567-2274
Mailing address
522 W FINNIE FLAT RD STE A, CAMP VERDE, AZ 86322-7265
(928) 567-2274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025333
AZ
Other
Enumeration date
08/24/2021
Last updated
06/15/2022
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