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1942509054
JACOB ROY COONER
GREENWOOD, SC
NPI
1942509054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 4083)
Enumeration Date
2011-03-16
Last Update Date
2011-03-16
Business Address
-- JACOB ROY COONER rph
311 HAMPTON AVE
GREENWOOD, SC 29646-2204
Phone number: 864-223-7511
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Mailing Address
-- JACOB ROY COONER rph
640 FAIRWAY LAKES RD
GREENWOOD, SC 29649-8435
Phone number: 864-229-6463
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