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Individual

TANNER JAMES COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
810 W COMMERCIAL ST, OZARK, AR 72949-3010
(479) 667-4145
(479) 667-4879
Mailing address
PO BOX 3, GREENWOOD, AR 72936-0003
(479) 597-9795

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16628
AR

Other

Enumeration date
07/03/2023
Last updated
07/03/2023
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