Provider Demographics
NPI:1598763211
Name:KOOPMAN, JAMES ALLEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALLEN
Last Name:KOOPMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43968-9794
Mailing Address - Country:US
Mailing Address - Phone:740-381-3827
Mailing Address - Fax:
Practice Address - Street 1:1361 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:TORONTO
Practice Address - State:OH
Practice Address - Zip Code:43964-1025
Practice Address - Country:US
Practice Address - Phone:740-537-2600
Practice Address - Fax:740-537-3400
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03318784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist