Gayvon Cooper

NPI #1164662078 in Madison Hts, Michigan

Provider Information

NPI Number: 1164662078
Entity Type: Individual
Name: Gayvon Cooper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 5, 2009
Last Updated: Mar 5, 2009

Practice Location

Address: 28042 BRUSH ST
City: Madison Hts
State: Michigan
ZIP Code: 48071-2802
Phone: (248) 404-8244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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