Individual
IAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
148 ROUTE 137, HARWICH, MA 02645-1316
(508) 432-2018
Mailing address
148 ROUTE 137, HARWICH, MA 02645-1316
(508) 432-2018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239093
MA
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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