John Phillip Koop in Brainerd - Pharmacotherapy
John Phillip Koop - NPI 1679648414
John Phillip Koop is a Pharmacotherapy in Brainerd, Minnesota. John Phillip Koop practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for John Phillip Koop is 1679648414. The last update date is 2007-07-08.
John Phillip Koop's current location address is 11800 State Ave, Brainerd, Minnesota. You can contact this provider via phone number 2188282759 and fax number 2188282207. The mailing address for John Phillip Koop is 11800 State Ave, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Phillip Koop |
|---|---|
| Address | 11800 State Ave, Brainerd, Minnesota |
| Phone Number | 2188282759 |
| Fax Number | 2188282207 |
| Sole Proprietor | N |
| Credentials | PHARM. D. |
NPI Number Detail
| NPI Number | 1679648414 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11800 State Ave |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564017308 |
| Phone Number | 2188282759 |
| Fax Number | 2188282207 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacotherapy |
|---|---|
| Taxonomy | 1835P1200X |
| Licence No | 114002-4 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons |
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What is the unique 10-digit identifier code assigned to John Phillip Koop by the Centers for Medicare & Medicaid Services?
The John Phillip Koop has been issued the NPI (National Provider Identifier) 1679648414 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John Phillip Koop is physically located?
The John Phillip Koop is physically situated at the following address: 11800 State Ave, Brainerd, MN, 564017308.
What is John Phillip Koop's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Phillip Koop is Pharmacotherapy, and the taxonomy code that classifies this field of practice is 1835P1200X.
When was the John Phillip Koop's 1679648414 issued?
The John Phillip Koop's 1679648414 was issued on 2006-11-21.
When was the John Phillip Koop's information last updated?
The John Phillip Koop's information was last updated on 2007-07-08.
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