Cooper, Stacie

Cooper, Stacie is an individual health care provider with primary practice located at 4241 Lavista Rd , Tucker GA 30084-5310. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Cooper, Stacie can be contacted via phone (770) 934-3563.

Contact Information

Primary practice address
4241 Lavista Rd Tucker GA 30084-5310
Phone: (770) 934-3563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 022040 Georgia

Profile Details

NPI number 1538505763
LBN Legal business name Cooper, Stacie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2013
Last updated May 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers