MEDICARE: MR. FRANK COEDROND COOPER R.PH

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	36431	TX

General Provider Information

NPI Number	:	1770806309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANK COEDROND COOPER R.PH

Provider Business Mailing Address
First Line	:	13415 WOODFOREST BLVD STE F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-2922
Country	:	US
Telephone Number	:	713-330-4400
Fax Number	:	713-330-4405

Provider Business Practice Location Address
First Line	:	13415 WOODFOREST BLVD STE F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-2922
Country	:	US
Telephone Number	:	713-330-4400
Fax Number	:	713-330-4405

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

Provider Enumeration Date	:	03/10/2010
Last Update Date	:	03/10/2010

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