MEDICARE: NATALIE 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
1	183500000X	Pharmacist	12298	MT

General Provider Information

NPI Number	:	1609265784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE COOPER PHARMD

Provider Business Mailing Address
First Line	:	2988 LILY DR
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2988 LILY DR
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-6023
Country	:	US
Telephone Number	:	406-599-4540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2015
Last Update Date	:	01/13/2015

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Directions to “ NATALIE COOPER PHARMD” Practice Location

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