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1790053189
TANISHA CHANTAL COOPER
STONE MOUNTAIN, GA
NPI
1790053189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH027514)
Enumeration Date
2011-12-13
Last Update Date
2020-12-30
Business Address
DR. TANISHA CHANTAL COOPER PHARMD.
5370 ZACHARY DR
STONE MOUNTAIN, GA 30083-3867
Phone number: 404-695-8520
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Mailing Address
DR. TANISHA CHANTAL COOPER PHARMD.
5370 ZACHARY DR
STONE MOUNTAIN, GA 30083-3867
Phone number: 404-695-8520
Copy
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