Provider Demographics
NPI:1720386014
Name:COOPER, BRIANNE CHRISTINE (PHARM D)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:CHRISTINE
Last Name:COOPER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-1057
Mailing Address - Country:US
Mailing Address - Phone:410-778-4000
Mailing Address - Fax:410-778-6024
Practice Address - Street 1:711 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1057
Practice Address - Country:US
Practice Address - Phone:410-778-4000
Practice Address - Fax:410-778-6024
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19438183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist