Christina Cooper
Individual provider Active NPI Pharmacist · Lynn Haven, FL
NPI 1508466103 · NPPES record last updated Nov 1, 2020
Key facts
- NPI
- 1508466103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS44466 (FL)
- Practice address
- 2101 S Highway 77
Lynn Haven, FL 32444-4646 - Phone
- (850) 265-2696
- Fax
- (850) 265-2616
- NPI assigned
- Nov 1, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS44466 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS44466 | FL | Yes |
Addresses
Primary practice location
2101 S Highway 77
Lynn Haven, FL 32444-4646
Mailing address
2101 S Highway 77
Lynn Haven, FL 32444-4646
Phone (850) 265-2696
Other providers in Lynn Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.