Individual
COURTNEY ELIZABETH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11160 S LAKES DR, RESTON, VA 20191-4327
(703) 620-6585
Mailing address
246 WATERFORD LN, WINCHESTER, VA 22602-6225
(540) 877-4504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218980
VA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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