Cooper, Tara Marie

Cooper, Tara Marie is an individual health care provider with primary practice located at 101 W Main St , Enon OH 45323-1233. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Cooper, Tara Marie can be contacted via phone (937) 864-1603.

Contact Information

Primary practice address
101 W Main St Enon OH 45323-1233
Phone: (937) 864-1603
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 09316634 Ohio

Profile Details

NPI number 1073255675
LBN Legal business name Cooper, Tara Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2022
Last updated Apr 13th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073255675 NPPES
Ohio Other 09316634 CERTIFIED PHARMACY TECHNICIAN

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