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NPI Code Detail

MEDICARE: DR. SCOTT COOPER PHARM.D.

MEDICARE:  DR. SCOTT  COOPER  PHARM.D.
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist018713GA

General Provider Information

NPI Number : 1144508482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT COOPER PHARM.D.
Provider Business Mailing Address
First Line : 1745 PEACHTREE RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30309-2410
Country : US
Telephone Number : 404-888-7641
Fax Number :
Provider Business Practice Location Address
First Line : 1745 PEACHTREE RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30309-2410
Country : US
Telephone Number : 404-888-7641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2011
Last Update Date : 08/03/2011

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Directions to “ DR. SCOTT COOPER PHARM.D.” Practice Location

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