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COOPER CLINIC PA NPI 1316336761


NPI Information

NPI: 1316336761
Provider Name: COOPER CLINIC, PA
Classification: Pharmacist - 1835X0200X
Entity Type: Organization

Specialization: Oncology

Address:
6801 ROGERS AVE
FORT SMITH, AR
ZIP 72903
Phone: (479) 274-2000
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COOPER CLINIC, PA is an oncology pharmacist in Fort Smith, AR. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. COOPER CLINIC, PA NPI is 1316336761. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6801 ROGERS AVE
FORT SMITH, AR
ZIP 72903-067
Phone: (479) 274-2000

The provider's authorized official is Curtis Ralston .
The authorized official title is Ceo and has the following contact phone number (479) 274-2001.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 1/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11835X0200XPharmacistOncologyE3603ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10384730023MEDICARE NSCARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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