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Organization
PH COPPER COUNTRY APOTHECARIES LLC
Active
Organization
PH COPPER COUNTRY APOTHECARIES LLC
Active
Other names
Copper Country Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ROCHE (DIRECTOR OF RETAIL PHARMACY)
(906) 483-1905
Entity
Organization
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1901
(906) 483-1909
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1901
(906) 483-1909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
5301010245
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255384178
—
MI
01
—
2143629
PK
—
Enumeration date
05/19/2006
Last updated
07/19/2018
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