Provider Demographics
NPI:1770806309
Name:COOPER, FRANK COEDROND (RPH)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:COEDROND
Last Name:COOPER
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 1:13415 WOODFOREST BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-2922
Mailing Address - Country:US
Mailing Address - Phone:713-330-4400
Mailing Address - Fax:713-330-4405
Practice Address - Street 1:13415 WOODFOREST BLVD STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-2922
Practice Address - Country:US
Practice Address - Phone:713-330-4400
Practice Address - Fax:713-330-4405
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist