Individual
COREY CLAY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
300 2ND AVE SE, CAIRO, GA 39828-2726
(229) 377-9017
(229) 377-3994
Mailing address
300 2ND AVE SE, CAIRO, GA 39828-2726
(229) 377-9017
(229) 377-3994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023282
GA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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