Ted Cooper is a Pharmacist based in Dixon, IL. Ted Cooper practices in Dixon, IL. The NPI Number for Ted Cooper is 1851985618 and holds a License No. 05103161 (Illinois).
The current practice location address for Ted Cooper is 301 N Galena Ave, Dixon, IL and can be reached out via phone at 815-284-8000.
Location: 301 N Galena Ave, Dixon, IL, 61021-2113
Provider Profile Details
NPI Number
1851985618
Provider Name
Ted Cooper
Credential
Provider Entity Type
Individual
Gender
Male
Address
301 N Galena Ave, Dixon, IL, 61021-2113
Phone Number
815-284-8000
Fax Number
Provider Enumeration Date
02/23/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05103161 | 01 | IL | PHARMACIST LICENSE |
Provider Business Practice Location Address Details
Address
301 N Galena Ave
City
State
Zip
61021-2113
Phone Number
815-284-8000
Fax Number
Provider Business Mailing Address Details
Address
301 N Galena Ave
City
State
Zip
61021-2113
Phone Number
815-284-8000
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
05103161 (Illinois)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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