Grant Anthony Cooper, PHARMD

NPI #1326592866 in La Porte, Indiana

Provider Information

NPI Number: 1326592866
Entity Type: Individual
Name: Grant Anthony Cooper, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 13, 2016
Last Updated: Aug 13, 2016

Practice Location

Address: 1302 W STATE ROAD 2
City: La Porte
State: Indiana
ZIP Code: 46350-4666
Phone: (219) 362-7009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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