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General NPI Number Information
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NPI Number | 1649468067
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Entity Type | Individual
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Provider Name | JOEL A. COON PHARM.D., BCACP
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Gender | Male
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 6050 NORTHLAND DR NE STE 200
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City | ROCKFORD
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State | MI
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Zip | 49341-9257
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Country | US
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Telephone | 616-685-8375
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Fax |
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Provider Business Mailing Address
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Address Line | 170 ROCKWOOD DR
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City | SOUTH CHINA
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State | ME
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Zip | 04358-5023
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 5302033086
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License Number State | MI
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