Individual
JILL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
9220 MARNE RD, FORT BENNING, GA 31905-5515
(706) 544-1049
Mailing address
300 LEE ROAD 147, OPELIKA, AL 36804-3809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018055
GA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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