Individual
DR. DANIELLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1408 N MAIN ST, BLOOMINGTON, IL 61701-1762
(309) 827-3069
Mailing address
477 COUNTY ROAD 1950 E, SECOR, IL 61771-9570
(309) 744-2679
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.290497
IL
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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