Healthcare Provider Details

I. General information

NPI: 1821430398
Provider Name (Legal Business Name): RENEE COOPER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 NATIONAL DR STE 100
DURHAM NC
27703-7045
US

IV. Provider business mailing address

2510 GEMENA RD
CHAPEL HILL NC
27516-5298
US

V. Phone/Fax

Practice location:
  • Phone: 855-745-5725
  • Fax:
Mailing address:
  • Phone: 919-260-1629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18161
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: