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NPI Code Detail

MEDICARE: MS. GWENDOLYN BELL COOPER RPH

MEDICARE: MS. GWENDOLYN BELL COOPER RPH
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
1183500000XPharmacist019985TX

General Provider Information

NPI Number : 1336419936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GWENDOLYN BELL COOPER RPH
Provider Business Mailing Address
First Line : 3708 PARKWOOD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77021-1510
Country : US
Telephone Number : 713-748-1829
Fax Number :
Provider Business Practice Location Address
First Line : 8430 BROADWAY ST
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7883
Country : US
Telephone Number : 281-412-3305
Fax Number : 281-412-2191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2012
Last Update Date : 01/12/2012

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