Individual
SEAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
W. 201 NEIDER RD., COEUR D' ALENE, ID 83815
(208) 765-0245
(208) 765-0545
Mailing address
W. 201 NEIDER RD., COEUR D ALENE, ID 83815
(208) 765-0245
(208) 765-0545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5674
ID
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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