Individual
JESSICA ANNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 STATE HIGHWAY 55 NE, T-0861, BUFFALO, MN 55313-4321
(763) 682-4996
Mailing address
1300 STATE HIGHWAY 55 NE, T-0861, BUFFALO, MN 55313-4321
(763) 682-4996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116820
MN
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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