Ted Cooper

NPI #1851985618 in Dixon, Illinois

Provider Information

NPI Number: 1851985618
Entity Type: Individual
Name: Ted Cooper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 23, 2021
Last Updated: Feb 23, 2021

Practice Location

Address: 301 N GALENA AVE
City: Dixon
State: Illinois
ZIP Code: 61021-2113
Phone: (815) 284-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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