Beverly O Coogler, RPH Valid NPI

Individual provider · Pharmacist · Locust Grove, GA

NPI

1619009313

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

014416 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2007-03-09

Last updated

2007-07-08