Provider Demographics
NPI:1942290937
Name:KNIGHT-COOPER, JANICE MARIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:MARIA
Last Name:KNIGHT-COOPER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4477 W 118TH ST
Mailing Address - Street 2:#100
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2255
Mailing Address - Country:US
Mailing Address - Phone:310-675-6882
Mailing Address - Fax:310-675-6893
Practice Address - Street 1:4477 W 118TH ST
Practice Address - Street 2:#100
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2255
Practice Address - Country:US
Practice Address - Phone:310-675-6882
Practice Address - Fax:310-675-6893
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40781183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy