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NPI Code Detail

MEDICARE: MISS CASSANDRA IRENE COOPER PHARMD

MEDICARE: MISS CASSANDRA IRENE COOPER PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP046219LPA

General Provider Information

NPI Number : 1104958503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CASSANDRA IRENE COOPER PHARMD
Provider Business Mailing Address
First Line : 2614 ARROWHEAD DR
Second Line :
City : LANGHORNE
State : PA
Zip : 19053-3210
Country : US
Telephone Number : 215-750-3643
Fax Number :
Provider Business Practice Location Address
First Line : 1601 CHERRY ST
Second Line : SUITE 1700
City : PHILADELPHIA
State : PA
Zip : 19102-1321
Country : US
Telephone Number : 877-882-7820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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Directions to “ MISS CASSANDRA IRENE COOPER PHARMD” Practice Location

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