Individual
MR. JOHN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.PHARM
Contact information
Practice address
545 E NORRIS DR, WALGREENS STORE # 3009, OTTAWA, IL 61350-2316
(815) 433-0485
(815) 433-3843
Mailing address
545 E NORRIS DR, WALGREENS STORE # 3009, OTTAWA, IL 61350-2316
(815) 433-0485
(815) 433-3843
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.291504
IL
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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